California State Board of Optometry
Licensing details for: 43228
Name: Padilla, Deleyne
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
1630 Merrill St
609
SANTA CRUZ CA 95062-4007
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 #149
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6916 Primary Status: Current
Address :
220 SYLVANIA AVE
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Padilla, Deleyne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9027 Primary Status: Delinquent
Address :
1630 Merrill st
609
SANTA CRUZ CA 95062
