California State Board of Optometry

Licensing details for: 5828

Name: TAKATA, MICHAEL S

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: TAKATA, MICHAEL SHIZUO

Address of Record

23234 SESAME STREET # D
TORRANCE CA 90502
LOS ANGELES county
Map

Issuance Date

July 11, 2008

Expiration Date

August 31, 2027

Current Date / Time

November 6, 2025
12:27:0 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #1202

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70705 Primary Status: Current

Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY