California State Board of Optometry
Licensing details for: 6130
Name: NATIONAL VISION EYECARE CENTER #2206
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Previous Names: WAL-MART #2206 ❖ VISION CENTER LOCATED IN WAL-MART # 2206
Address of Record
27470 ALICIA PARKWAY
LAGUNA NIGUEL CA 92677
ORANGE 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: Calvo, Luz Candelaria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8603 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EBRIGHT, TANISHA SUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40223 Primary Status: Current
Address :
1919 W Coronet Ave
#260
ANAHEIM CA 92801-1755
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Calvo, Luz Candelaria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41637 Primary Status: Current
Address :
33691 doheny park rd
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUSTAFSON, JOHN GREGORY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4619 Primary Status: Cancelled
Address :
9 SOBRADORA DR
SANTA FE NM 87508
SANTA FE 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



