California State Board of Optometry

Licensing details for: 4637

Name: DISMUKE, GLENN AUSTIN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

4972 LAMIA WAY
OCEANSIDE CA 92056
SAN DIEGO county
Map

Issuance Date

January 22, 2002

Expiration Date

October 31, 2009

Current Date / Time

November 5, 2025
6:7:42 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6628

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6878 Primary Status: Current

Address :
2601 SKYPARK DR
TORRANCE CA 90505-5313
LOS ANGELES COUNTY

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #6619

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6734 Primary Status: Current

Address :
951 N MILLIKEN AVE
ONTARIO CA 91764-5008
SAN BERNARDINO COUNTY