California State Board of Optometry
Licensing details for: 42908
Name: Kwack, David
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
16510 Dundee Ct
Unit 87
LA MIRADA CA 90638-6260
LOS ANGELES 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 #410
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6821 Primary Status: Current
Address :
12324 HOXIE AVE
NORWALK CA 90650
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #679
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6757 Primary Status: Current
Address :
17550 CASTLETON ST
CITY OF INDUSTRY CA 91748
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Kwack, David
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8940 Primary Status: Current
Address :
16510 Dundee Ct Unit 87
LA MIRADA CA 90638-6258
LOS ANGELES COUNTY
