California State Board of Optometry
Licensing details for: 42331
Name: Gonzalez, Jason Gabriel
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
14202 Raintree Rd
TUSTIN CA 92780-6835
ORANGE 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 #454
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6838 Primary Status: Current
Address :
115 TECHNOLOGY DR
IRVINE CA 92618
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Gonzalez, Jason Gabriel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8673 Primary Status: Current
Address :
14202 Raintree Rd
TUSTIN CA 92780-6835



