California State Board of Optometry
Licensing details for: 6748
Name: SAM'S CLUB #4709
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1375 E Ontario Ave
CORONA CA 92881-6604
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: TRAN, KIM TO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1598 Primary Status: Cancelled
Address :
5301 ALMADEN EXPRESSWAY
SAN JOSE CA 95118
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KIMMEL, ALITHIA BETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2248 Primary Status: Current
Address :
17792 Palo Verde Ave
CERRITOS CA 90703-2667
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MONROY, STEPHANIE ROXANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2245 Primary Status: Cancelled
Address :
32655 SAN CLEMENTE CT
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: SCHATZ, LARRY WALL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1951 Primary Status: Cancelled
Address :
419 SAN JACINTO
REDLANDS CA 92373
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ, ANA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1580 Primary Status: Current
Address :
1174 W ELEVENTH ST
POMONA CA 91766
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARTKOWSKI, AMANDA ROSE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1959 Primary Status: Current
Address :
1112 Center St
RIVERSIDE CA 92507-1018
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OLARTE, ALEXANDER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1933 Primary Status: Cancelled
Address :
3868 JACKSON STREET
RIVERSIDE CA 92503-3920
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIMMEL, ALITHIA BETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6573 Primary Status: Current
Address :
17792 Palo Verde Ave
CERRITOS CA 90703-2667
LOS ANGELES COUNTY
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
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARTKOWSKI, AMANDA ROSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6067 Primary Status: Current
Address :
1112 Center St
RIVERSIDE CA 92507-1018
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCHATZ, LARRY WALL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5995 Primary Status: Cancelled
Address :
419 SAN JACINTO
REDLANDS CA 92373
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MONROY, STEPHANIE ROXANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6774 Primary Status: Delinquent
Address :
32655 SAN CLEMENTE COURT
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: REYNOLDS, DENISE G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2091 Primary Status: Cancelled
Address :
4476 N SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUINIGA, MONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5008 Primary Status: Current
Address :
545 TRIER AVE
LA PUENTE CA 91744
LOS ANGELES COUNTY
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
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
