California State Board of Optometry
Licensing details for: 4845
Name: TRUONG, PHUONG LISA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
2714 KENDRICK CIRCLE
SAN JOSE CA 95121
SANTA CLARA 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: LENSCRAFTERS, INC. #5785
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7393 Primary Status: Current
Address :
1620 SARATOGA AVENUE #P-301
SAN JOSE CA 95129
SANTA CLARA 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: 5962 Primary Status: Current
Address :
2201 SENTER RD
SAN JOSE CA 95112
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS #066
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3667 Primary Status: Cancelled
Address :
2200 EASTRIDGE MALL STE 1078
SAN JOSE CA 95122
SANTA CLARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: TRUONG, PHUONG LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8610 Primary Status: Current
Address :
2714 Kendrick Cir
SAN JOSE CA 95121
SANTA CLARA COUNTY



