California State Board of Optometry
Licensing details for: 43656
Name: Banks, Evan
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
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 #429
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6831 Primary Status: Current
Address :
33961 DOHENY PARK RD
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Banks, Evan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9205 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835



