California State Board of Optometry
Licensing details for: 6886
Name: WAL-MART STORE #2960
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
4101 S CRENSHAW
LOS ANGELES CA 90008
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: ARREDONDO, GUADALUPE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1456 Primary Status: Cancelled
Address :
1025 S MENLO AVE # 2
LOS ANGELES CA 90006
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KING, MECCA KIJAH NICOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1619 Primary Status: Cancelled
Address :
3945 GIBRALTAR AVE #9
LOS ANGELES CA 90008
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VARTANYAN, GOR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1377 Primary Status: Cancelled
Address :
9537 VIA VENEZIA
BURBANK CA 91504
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: EVANS, LORETTA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1702 Primary Status: Cancelled
Address :
2634 S MANHATTAN PL # 10
LOS ANGELES CA 90018
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALATORRE, LINA V
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1535 Primary Status: Current
Address :
1312 N VOLNEY DR
LOS ANGELES CA 90063
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERGUSON, DERRICK ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40050 Primary Status: Current
Address :
942 N Louise St
7
GLENDALE CA 91207-2053
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARREDONDO, GUADALUPE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5241 Primary Status: Cancelled
Address :
1025 S MENLO AVE # 2
LOS ANGELES CA 90006
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HENRY, LISA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5868 Primary Status: Cancelled
Address :
4215 W. SLAUSON AVE. #201
LOS ANGELES CA 90043
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEDINA, LUCIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4987 Primary Status: Current
Address :
309 EAST MILL AVE
PORTERVILLE CA 93257
TULARE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARVEY, MARIA D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4322 Primary Status: Cancelled
Address :
2437 S PHILLIP AVE
FRESNO CA 93727
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALATORRE, LINA V
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5509 Primary Status: Current
Address :
2000 Market Place Dr
MONTEREY PARK CA 91755-7402
MONTEREY COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VARTANYAN, GOR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5065 Primary Status: Cancelled
Address :
9537 VIA VENEZIA
BURBANK CA 91504
LOS ANGELES COUNTY
