California State Board of Optometry

Licensing details for: 42018

Name: Medina, Marissa Consuelo

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

1113 W Orange Rd
SANTA ANA CA 92706-1143
Map

Issuance Date

March 13, 2020

Expiration Date

March 31, 2024

Current Date / Time

November 6, 2025
4:11:53 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WARBY PARKER

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 71081 Primary Status: Current

Address :
6400 E Pacific Coast Hwy # B-165
LONG BEACH CA 90803-4206
LOS ANGELES COUNTY

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #084

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3584 Primary Status: Current

Address :
2658 W LA PALMA AVE
ANAHEIM CA 92801
ORANGE COUNTY