California State Board of Optometry
Licensing details for: 6887
Name: WAL-MART STORE #2949
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
151 E 5TH ST
LONG BEACH CA 90802
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: ATKINS II, DARYL ANDRE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1471 Primary Status: Delinquent
Address :
916 W 41st Dr Apt D
LOS ANGELES CA 90037-1962
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOTHERSHED, DEBORAH LATANYA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1342 Primary Status: Cancelled
Address :
7108 KITTYHAWK AVE
LOS ANGELES CA 90045
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ESQUER, UTE ROSE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1479 Primary Status: Cancelled
Address :
2501 BELGRAVE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUPTA, VEENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1355 Primary Status: Cancelled
Address :
2290 ARDEMORE DR
FULLERTON CA 92833
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOORE, MIESHA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1886 Primary Status: Cancelled
Address :
22646 ABINGTON PL
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHAVERS, DARLENE ELNORA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1770 Primary Status: Current
Address :
1950 w Rosamond blvd
Unit 2352
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LE, NATHAN MINH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1338 Primary Status: Cancelled
Address :
2263 W VANCOUVER DR # 6
ANAHEIM CA 92804
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUPTA, VEENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5018 Primary Status: Cancelled
Address :
2290 ARDEMORE DR
FULLERTON CA 92833
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLIAMS, BEVERLY ADAMS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3872 Primary Status: Cancelled
Address :
9839 E Q 14
LITTLEROCK CA 93543
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LE, NATHAN MINH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4972 Primary Status: Cancelled
Address :
2263 W VANCOUVER DR # 6
ANAHEIM CA 92804
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHAVERS, DARLENE ELNORA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5678 Primary Status: Current
Address :
1950 w Rosamond blvd
Unit 2352
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SYPOWICZ, DENNIS M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5040 Primary Status: Current
Address :
APT 436
2445 E DEL MAR BLVD
PASADENA CA 91107
LOS ANGELES 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: MOTHERSHED, DEBORAH LATANYA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4981 Primary Status: Cancelled
Address :
7108 KITTYHAWK AVE
LOS ANGELES CA 90045
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOORE, MIESHA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5876 Primary Status: Cancelled
Address :
22646 ABINGTON PL
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESQUER, UTE ROSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4166 Primary Status: Cancelled
Address :
2501 BELGRAVE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
