California State Board of Optometry
Licensing details for: 42758
Name: San Roman Jimenez, Maria
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
9122 Healey Dr
GARDEN GROVE CA 92841-3615
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 #411
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6822 Primary Status: Current
Address :
17900 NEW HOPE ST
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: San Roman Jimenez, Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8817 Primary Status: Current
Address :
9122 Healey Dr
GARDEN GROVE CA 92841-3615
ORANGE COUNTY



