California State Board of Optometry
Licensing details for: 8477
Name: BODAN - MARTINEZ, XIOMARA MARGARITA
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES 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 # 671
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 3998 Primary Status: Current
Address :
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: BODAN - MARTINEZ, XIOMARA MARGARITA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41495 Primary Status: Current
Address :
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES COUNTY



