California State Board of Optometry
Licensing details for: 6882
Name: SAM'S CLUB #4735
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1390 S BEACH BLVD
LA HABRA CA 90631
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: PLATA, ARLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1551 Primary Status: Current
Address :
10218 Stanford Ave
SOUTH GATE CA 90280-5522
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GONZALES, RYAN RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8038 Primary Status: Cancelled
Address :
12912 Shackelford Ln Apt 2
GARDEN GROVE CA 92841-5127
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ, ADRIAN JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1582 Primary Status: Current
Address :
2270 AVENIDA LA PAZ
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BOWENS, RICHARD E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1213 Primary Status: Cancelled
Address :
26198 PERRY WAY
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WOHLSCHLAGER, AMIR M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1196 Primary Status: Cancelled
Address :
12 PEPPERWOOD
ALISO VIEJO CA 92656
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JOHNSON, CHRIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1688 Primary Status: Cancelled
Address :
617 N. DWYER DRIVE
ANAHEIM CA 92801
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALES, RYAN RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40225 Primary Status: Cancelled
Address :
12912 Shackelford Ln Apt 2
GARDEN GROVE CA 92841-5127
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Brown, Aaron
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41712 Primary Status: Current
Address :
16511 Richvale Dr
WHITTIER CA 90604-4044
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Madigan, Conner
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41347 Primary Status: Cancelled
Address :
2761 E Maverick Ave
ANAHEIM CA 92806-5038
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANZO, MAYRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40518 Primary Status: Current
Address :
923 Larchwood Ave
HACIENDA HEIGHTS CA 91745-1528
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BOWENS, RICHARD E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4235 Primary Status: Cancelled
Address :
26198 PERRY WAY
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WOHLSCHLAGER, AMIR M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4119 Primary Status: Cancelled
Address :
12 PEPPERWOOD
ALISO VIEJO CA 92656
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENDOZA, MARIA CLAUDIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5163 Primary Status: Cancelled
Address :
23640 MISTY GLADE CT
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOHNSON, CHRIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5681 Primary Status: Current
Address :
31508 Corte Salinas
TEMECULA CA 92592-6411
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PLATA, ARLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5907 Primary Status: Cancelled
Address :
10218 STANFORD AVENUE
SOUTH GATE CA 90280
LOS ANGELES COUNTY
