California State Board of Optometry
Licensing details for: 6128
Name: NATIONAL VISION EYECARE CENTER #2291
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: WAL-MART #2291 ❖ VISION CENTER LOCATED IN WAL-MART # 2291
Address of Record
75 NORTH BROADWAY
CHULA VISTA CA 91910
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: FUNK, SANDRA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2198 Primary Status: Cancelled
Address :
1493 GOLDEN HARVEST LN
EL CAJON CA 92019
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAYLESS, ARIEL ROSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40168 Primary Status: Cancelled
Address :
75 N Broadway
CHULA VISTA CA 91910-1417
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLS, KEVIN TSAI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3842 Primary Status: Cancelled
Address :
1130 SUMNER AVE, UNIT E
EL CAJON CA 92020
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALTANAKCHI, WESAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40429 Primary Status: Delinquent
Address :
10127 Calle Marinero
SPRING VALLEY CA 91977-7103
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALMARES, ERICO DEVECAIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5258 Primary Status: Cancelled
Address :
75 N BROADWAY
CHULA VISTA CA 91910
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HAMMADI, RAWAA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6815 Primary Status: Cancelled
Address :
6941 Owensmouth Ave
unit #309
CANOGA PARK CA 91303-2070
LOS ANGELES COUNTY
