California State Board of Optometry

Licensing details for: 4885

Name: WILLIAMS, MATTHEW SCOTT

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: WILLIAMS, MATTEW SCOTT

Address of Record

83293 FAIRBANKS AVE
INDIO CA 92203
RIVERSIDE county
Map

Issuance Date

August 25, 2003

Expiration Date

January 31, 2021

Current Date / Time

November 5, 2025
5:57:22 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #462

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6853 Primary Status: Current

Address :
951 PALOMAR AIRPORT RD
CARLSBAD CA 92009-1110
SAN DIEGO COUNTY