California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: LUCAS, DEBANI E

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1529 Primary Status: Cancelled

Address :
27931 MORREY LANE
MORENO VALLEY CA 92555
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: PULLENS, MARIA MICHELLE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1583 Primary Status: Current

Address :
642 San Marino St
HEMET CA 92545-2428
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: FRANCIS, SHARON

License/Registration Type: Registered Contact Lens Dispenser

License Number: 604 Primary Status: Current

Address :
1332 Via Rivas
HEMET CA 92545-9722
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: SHARP, CINDI K

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1531 Primary Status: Cancelled

Address :
11984 AUTUMN WIND LANE
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: REYNOLDS, DENISE G

License/Registration Type: Registered Contact Lens Dispenser

License Number: 780 Primary Status: Cancelled

Address :
4476 NO SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: GUTIERREZ, FRANCISCA L

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8244 Primary Status: Current

Address :
c/o SAM'S CLUB
6363 Valley Springs Pkwy
RIVERSIDE CA 92507-0905
RIVERSIDE COUNTY

Map

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

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: HARRELL, COURTNEY LAUREN

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2321 Primary Status: Cancelled

Address :
9009 EVERGREEN AVENUE
FONTANA CA 92335
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: CHAPPARO, ARLENE MARIE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8185 Primary Status: Delinquent

Address :
1366 Birch St
SAN BERNARDINO CA 92410-2246
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: MALDONADO, JORGE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1586 Primary Status: Delinquent

Address :
4637 Central Ave
RIVERSIDE CA 92506-2328
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: ESPINOZA DE JESUS, CLAUDIA I

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8015 Primary Status: Cancelled

Address :
30951 Hanover Ln
apt 1505
MENIFEE CA 92584-6629
RIVERSIDE COUNTY

Map

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

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ESPINOZA DE JESUS, CLAUDIA I

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40036 Primary Status: Cancelled

Address :
30300 Antelope Rd
114
MENIFEE CA 92584-9438
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HARRELL, COURTNEY LAUREN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40072 Primary Status: Cancelled

Address :
9009 Evergreen Ave
FONTANA CA 92335-8116
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Villegas, ELIZABETH MARIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40937 Primary Status: Delinquent

Address :
991 W Blaine St
Apt 107
RIVERSIDE CA 92507-3731
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CHAPPARO, ARLENE MARIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40735 Primary Status: Delinquent

Address :
1366 Birch St
SAN BERNARDINO CA 92410-2246
SAN BERNARDINO COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PULLENS, MARIA MICHELLE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6735 Primary Status: Current

Address :
642 San Marino St
HEMET CA 92545-2428
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Letim, Arjohn Michael Suase

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41806 Primary Status: Current

Address :
29584 Barefoot Cir
MENIFEE CA 92585-9276
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Lester Robertson, Destiny Nicole

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41308 Primary Status: Current

Address :
24115 Cottonwood Ave
K130
MORENO VALLEY CA 92553-6271
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GUTIERREZ, FRANCISCA L

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6347 Primary Status: Current

Address :
c/o SAM'S CLUB
6363 Valley Springs Pkwy
RIVERSIDE CA 92507-0905
RIVERSIDE COUNTY

Map

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

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GALLARDO, CHRISTOPHER AARON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6510 Primary Status: Current

Address :
1540 E 2nd St
BEAUMONT CA 92223-3101
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MALDONADO, JORGE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4462 Primary Status: Delinquent

Address :
4637 Central Ave
RIVERSIDE CA 92506-2328
RIVERSIDE COUNTY

Map