California State Board of Optometry
Licensing details for: 42902
Name: Johnson, Halifu
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
10477 Moorpark St
SPRING VALLEY CA 91978-1510
SAN DIEGO 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 #488
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3839 Primary Status: Current
Address :
2345 FENTON PARKWAY
SAN DIEGO CA 92108
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Johnson, Halifu
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8885 Primary Status: Current
Address :
10477 Moorpark St
SPRING VALLEY CA 91978-1510



