California State Board of Optometry

Licensing details for: 5087

Name: POLANCO, JACSIA H

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

500 W 171ST STREET APT 1A
NEW YORK NY 10032
NEW YORK county
Map

Issuance Date

July 20, 2004

Expiration Date

February 28, 2010

Current Date / Time

November 6, 2025
10:56:38 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #091

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3664 Primary Status: Current

Address :
616 W HUNTINGTON DR
MONROVIA CA 91016
LOS ANGELES COUNTY