California State Board of Optometry
Licensing details for: 5157
Name: PIPPIN, SUSAN ANN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
2649 Rikkard Dr
THOUSAND OAKS CA 91362-4609
VENTURA 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: COSTCO WHOLESALE # 474
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6391 Primary Status: Current
Address :
7095 MARKET PLACE DR
GOLETA CA 93117
SANTA BARBARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: PIPPIN, SUSAN ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1623 Primary Status: Cancelled
Address :
2649 Rikkard Dr
THOUSAND OAKS CA 91362-4609
VENTURA COUNTY



