California State Board of Optometry
Licensing details for: 41645
Name: Pond, Graciela Beatriz
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Previous Names: Fernandez, Graciela B
Address of Record
1088 Alta Vista Rd
SIMI VALLEY CA 93063-4773
VENTURA county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #128
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6165 Primary Status: Current
Address :
2660 PARK CENTER DR
SIMI VALLEY CA 93065
VENTURA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Pond, Graciela Beatriz
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8677 Primary Status: Current
Address :
1088 Alta Vista Rd
SIMI VALLEY CA 93063-4773
VENTURA COUNTY



