California State Board of Optometry
Licensing details for: 6885
Name: WAL-MART STORE #3477
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
7250 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES 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: SPURLOCK, JENNIFER HOPE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2061 Primary Status: Cancelled
Address :
4142 E. WILTON STREET
LONG BEACH CA 90804
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MACIAS, NANCY VANESSA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1751 Primary Status: Delinquent
Address :
1208 Alila Ave
DELANO CA 93215-1152
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUNTER, ROSHAL S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1360 Primary Status: Cancelled
Address :
7405 WESTERN BAY DR
BUENA PARK CA 90621
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GONZALEZ, DIANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1532 Primary Status: Cancelled
Address :
1261 W 41ST STREET
LOS ANGELES CA 90037
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TRANHOANG, HELEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1505 Primary Status: Current
Address :
8045 PICASSO
STANTON CA 90680
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ENGLISH, MARIAN MONIQUE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1339 Primary Status: Cancelled
Address :
13527 LEMOLI AVENUE #15
HAWTHORNE CA 90250
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NAVAS, ENRIQUE SOLOMON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2081 Primary Status: Current
Address :
PO Box 9293
LONG BEACH CA 90810-0293
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NAVAS, ENRIQUE SOLOMON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6290 Primary Status: Current
Address :
PO Box 9293
LONG BEACH CA 90810-0293
LOS ANGELES 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: WOHLERS, KIMBERLY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5202 Primary Status: Cancelled
Address :
809 WEST WAY
ORANGE CA 92865
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SPURLOCK, JENNIFER HOPE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6242 Primary Status: Cancelled
Address :
4142 E. WILTON STREET
LONG BEACH CA 90804
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JACKSON, ROBERT PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2929 Primary Status: Cancelled
Address :
PO Box 1323
FLOWERY BRANCH GA 30542-0023
HALL COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALEZ, DIANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5393 Primary Status: Cancelled
Address :
1261 W 41ST STREET
LOS ANGELES CA 90037
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHU, STEPHEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4436 Primary Status: Cancelled
Address :
7250 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRANHOANG, HELEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5191 Primary Status: Current
Address :
8045 Picasso
STANTON CA 90680-3370
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BONILLA, ANNE LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3191 Primary Status: Cancelled
Address :
11822 Gilbert St
GARDEN GROVE CA 92841-2720
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHAM, VY T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4962 Primary Status: Cancelled
Address :
1701 S ATLANTIC BLVD # K
ALHAMBRA CA 91803
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: G. LARSON, SOPHIA GABRIELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40501 Primary Status: Cancelled
Address :
717 Lime Ave
LONG BEACH CA 90813-4617
LOS ANGELES COUNTY



