California State Board of Optometry
Licensing details for: 1350
Name: TAKAHASHI, CHRISTINE ELAINE
License Type: Registered Contact Lens Dispenser
Primary Status: Cancelled

Previous Names: TAKAHASHI, CHRISTINE
Address of Record
1055 E HARRIMAN PLACE
SAN BERNARDINO CA 92408
SAN BERNARDINO 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: SAM'S CLUB # 6624
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7020 Primary Status: Current
Address :
1055 HARRIMAN PLACE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: SAM'S CLUB #6619
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6734 Primary Status: Current
Address :
951 N MILLIKEN AVE
ONTARIO CA 91764-5008
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: VISION CENTER II # 4105
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7083 Primary Status: Cancelled
Address :
TOWN GATE CROSSING
12420 DAY STREET, STE. B1
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAKAHASHI, CHRISTINE ELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3900 Primary Status: Cancelled
Address :
1055 E HARRIMAN PL
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY



