California State Board of Optometry
Licensing details for: 6016
Name: NATIONAL VISION EYECARE CENTER #2077
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Previous Names: NATIONAL VISION ASSOC
Address of Record
31700 GRAPE ST
LAKE ELSINORE CA 92530
RIVERSIDE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOULTON, GREGORY PHILIP
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3711 Primary Status: Cancelled
Address :
29737 AVD DE REAL
SUN CITY CA 92586
RIVERSIDE COUNTY



