California State Board of Optometry

Licensing details for: 2171

Name: IBARRA, MANUEL EDWARD

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

24705 Riverchse Drive Apt 6206
VALENCIA CA 91355
LOS ANGELES county
Map

Issuance Date

January 31, 2012

Expiration Date

December 31, 2015

Current Date / Time

November 5, 2025
12:41:53 PM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART 5152

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6978 Primary Status: Current

Address :
6433 FALLBROOK AVENUE
WEST HILLS CA 91307
LOS ANGELES COUNTY

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: IBARRA, MANUEL EDWARD

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6542 Primary Status: Cancelled

Address :
24705 Riverchase Dr Apt 6206
VALENCIA CA 91355-1424
LOS ANGELES COUNTY