California State Board of Optometry
Licensing details for: 42009
Name: Bravo, Michael
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
5769 Orchard Park Dr
SAN JOSE CA 95123-3434
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 #423
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6813 Primary Status: Current
Address :
150 LAWRENCE STATION RD
SUNNYVALE CA 94086
SANTA CLARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Bravo, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8620 Primary Status: Current
Address :
5769 Orchard Park Drive
SAN JOSE CA 95123
