Skip to Main Content

Licensing details for: 6748

Name: SAM'S CLUB #4709

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

1375 E Ontario Ave
CORONA CA 92881-6604
RIVERSIDE county
Map

Issuance Date

October 12, 2001

Expiration Date

October 31, 2027

Current Date / Time

April 3, 2026
4:29:52 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: MATSUMOTO, RANDALL KEITH

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1376 Primary Status: Current

Address :
26142 Williams Way
B
MURRIETA CA 92563-7377
RIVERSIDE COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Maya, Erika Alexandra

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43014 Primary Status: Current

Address :
1375 E Ontario Ave
CORONA CA 92881-6604
RIVERSIDE COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MATSUMOTO, RANDALL KEITH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5064 Primary Status: Current

Address :
26142 Williams Way
B
MURRIETA CA 92563
RIVERSIDE COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PEREZ, CRYSTAL CORA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40404 Primary Status: Current

Address :
19430 Envoy Ave
CORONA CA 92881-3804
RIVERSIDE COUNTY

Map

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ramirez ortega, mayra elisa

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41482 Primary Status: Current

Address :
1820 Rainbow Ridge St
CORONA CA 92882-5147
RIVERSIDE COUNTY

Map

Important Links