California State Board of Optometry
Licensing details for: 6127
Name: NATIONAL VISION EYECARE CENTER #2177
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Previous Names: WAL-MART ❖ VISION CENTER LOCATED IN WAL-MART # 2177
Address of Record
3382 MURPHY CANYON RD
SAN DIEGO CA 92123
SAN DIEGO 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: MILLER, JULIE ANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8446 Primary Status: Delinquent
Address :
1130 Emerald Ave
EL CAJON CA 92020
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PALMER, CHARLES L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1310 Primary Status: Cancelled
Address :
36771 Ranch House St
MURRIETA CA 92563-7011
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JAHROMI, BABAK ETEMAD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40485 Primary Status: Current
Address :
188 S Lincoln Ave Unit 23
EL CAJON CA 92020-4712
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STATEN, KINDRA D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40361 Primary Status: Current
Address :
1804 Jackson St
CHULA VISTA CA 91913-4381
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLER, JULIE ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6661 Primary Status: Cancelled
Address :
1130 EMERALD AVE
EL CAJON CA 92020
SAN DIEGO COUNTY



