California State Board of Optometry
Licensing details for: 5738
Name: NATIONAL VISION EYECARE CENTER #1805
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: NATIONAL VISION ASSOCIATES ❖ NATIONAL VISION ASSOCIATES 1805
Address of Record
79295 HIGHWAY 111
LA QUINTA CA 92253-2060
RIVERSIDE county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: M. ALDE, MARIA REGINA MONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8141 Primary Status: Current
Address :
34441 Morris St
BEAUMONT CA 92223-7468
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Leon, Selena Rocio
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42794 Primary Status: Current
Address :
80745 Mountain Mesa Dr
INDIO CA 92201-8319
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: M. ALDE, MARIA REGINA MONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40562 Primary Status: Current
Address :
34441 Morris St
BEAUMONT CA 92223-7468
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGO, BRIAN VAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40314 Primary Status: Current
Address :
11021 Alderman Ave
TUSTIN CA 92782-1318
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FUENTES, AMANDA MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40388 Primary Status: Delinquent
Address :
10811 Elm Field Rd
MORENO VALLEY CA 92557-3908
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLER, KEITH ALAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40394 Primary Status: Cancelled
Address :
2230 Lake Park Dr Spc 240
SAN JACINTO CA 92583-7640
RIVERSIDE COUNTY
