California State Board of Optometry
Licensing details for: 5453
Name: BAILEY, MARK ELLIOTT
License Type: Registered Spectacle Lens Dispenser
Primary Status: Revoked
Previous Names: BAILEY, MARK ELLOTT
Address of Record
6020 NEVADA AVE 17
WOODLAND HILLS CA 91367
LOS ANGELES 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: SAMS CLUB VISION CENTER #4824
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7146 Primary Status: Current
Address :
26468 CARL BOYER DRIVE
SANTA CLARITA CA 91351
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: BAILEY, MARK ELLIOTT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1565 Primary Status: Revoked
Address :
6020 NEVADA AVE 17
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY
