California State Board of Optometry
Licensing details for: 1303
Name: HAYES, JENNIFER RENEE
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Previous Names: BELL, JENNIFER RENEE
Address of Record
21205 JASMINES WAY
LAKE FOREST CA 92630
ORANGE county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #741
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7128 Primary Status: Current
Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1275
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5892 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: NATIONAL VISION EYECARE CENTER #2556
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6457 Primary Status: Cancelled
Address :
1168 WEST BRANCH STREET
ARROYO GRANDE CA 93420
SAN LUIS OBISPO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: HAYES, JENNIFER RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4510 Primary Status: Cancelled
Address :
21205 JASMINES WAY
LAKE FOREST CA 92630
ORANGE COUNTY



