California State Board of Optometry

Licensing details for: 4962

Name: PHAM, VY T

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

1701 S ATLANTIC BLVD # K
ALHAMBRA CA 91803
LOS ANGELES county
Map

Issuance Date

January 6, 2004

Expiration Date

August 31, 2005

Current Date / Time

November 5, 2025
10:44:4 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE #3477

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6885 Primary Status: Current

Address :
7250 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY