California State Board of Optometry
Licensing details for: 42957
Name: Campbell, Michael
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
1702 Maple St
SANTA MONICA CA 90405-2726
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 # 671
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3998 Primary Status: Current
Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Campbell, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8991 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY



