California State Board of Optometry
Licensing details for: 6717
Name: WAL MART STORE # 2952 OPTICAL
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
41200 MURRIETA HOT SPRINGS RD
MURRIETA CA 92562
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: D'ADDARIO, CHRISTINA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8050 Primary Status: Current
Address :
PO Box 316
SUN CITY CA 92586-0316
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PENNINGTON, JOHN DAVID
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1475 Primary Status: Cancelled
Address :
15319 LAKE BREEZE LANE
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SPIRITO, ROBERT THOMAS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1276 Primary Status: Current
Address :
4812 CONTOUR CT
OCEANSIDE CA 92057
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1381 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ETHRIDGE, SUE ANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1401 Primary Status: Cancelled
Address :
24592 CALLE ESTANCIA
MURRIETA CA 92562
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LOPEZ CASTANEDA, LUIS ALBERTO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8195 Primary Status: Delinquent
Address :
3356 Aster Ln
PERRIS CA 92571-7517
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JUAREZ, MARTIN EDUARDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8120 Primary Status: Delinquent
Address :
10450 Cimmeron Trail Dr
ADELANTO CA 92301-2215
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DRUSE, MICHAEL MATTHEW
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1455 Primary Status: Cancelled
Address :
1457 Lighthouse Rd
SAN MARCOS CA 92078-1026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KRUCK, OVIDIU
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4270 Primary Status: Cancelled
Address :
24521 CAMINO MIRABELLA
MURRIETA CA 92562
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: D'ADDARIO, CHRISTINA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40547 Primary Status: Current
Address :
PO Box 316
SUN CITY CA 92586-0316
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gallo, Nicole
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41793 Primary Status: Current
Address :
26698 China Dr
MENIFEE CA 92585-9026
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SPIRITO, ROBERT THOMAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4532 Primary Status: Current
Address :
4812 CONTOUR CT
OCEANSIDE CA 92057
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GIBSON, KEVIN ROBERT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41519 Primary Status: Current
Address :
27346 Acacia Ct
CORONA CA 92883-6662
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5084 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ETHRIDGE, SUE ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5017 Primary Status: Cancelled
Address :
24592 CALLE ESTANCIA
MURRIETA CA 92562
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JUAREZ, MARTIN EDUARDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40495 Primary Status: Delinquent
Address :
10450 Cimmeron Trail Dr
ADELANTO CA 92301-2215
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALMER, CHARLES L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3601 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: PENNINGTON, JOHN DAVID
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5275 Primary Status: Cancelled
Address :
15319 LAKE BREEZE LANE
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOPEZ CASTANEDA, LUIS ALBERTO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40704 Primary Status: Delinquent
Address :
3356 Aster Ln
PERRIS CA 92571-7517
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MC CABE, RICK A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1137 Primary Status: Cancelled
Address :
95-200 AKULI PLACE
MILILANI HI 96789
HONOLULU COUNTY
