California State Board of Optometry
Licensing details for: 43166
Name: Bass, Justin Ryan
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
26610 Ynez Rd
TEMECULA CA 92591-4697
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
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5891 Primary Status: Current
Address :
26610 YNEZ RD
TEMECULA CA 92591
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Bass, Justin Ryan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9003 Primary Status: Current
Address :
26610 Ynez Rd
TEMECULA CA 92591-4697



