California State Board of Optometry
Licensing details for: 4318
Name: MEJIA, MIGUEL ANGEL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
15920 Pomona Rincon Rd
7502
CHINO HILLS CA 91709
SAN BERNARDINO 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: EYE VISION OPTICAL, INC.
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71046 Primary Status: Delinquent
Address :
3100 E Imperial Hwy
1109
LYNWOOD CA 90262-3202
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
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE CORP
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5969 Primary Status: Cancelled
Address :
17301 EAST GALE AVE
CITY OF INDUSTRY CA 91748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: NUEVA VISION OPTICAL INC
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7142 Primary Status: Cancelled
Address :
3100 E IMPERIAL HWY SUITE 1109
LYNWOOD CA 90262
LOS ANGELES COUNTY



