California State Board of Optometry
Licensing details for: 6891
Name: WAL-MART #2886
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
8500 WASHINGTON BLVD
PICO RIVERA CA 90660
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: DIAZ, CAROLINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1882 Primary Status: Cancelled
Address :
1722 1/2 W. 36TH STREET
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: TORRES, MICHELLE ANGELINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1444 Primary Status: Cancelled
Address :
8434 TWEEDY LN # 125
DOWNEY CA 90240
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PERALTA, ANGELA MIRIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1422 Primary Status: Current
Address :
10600 Bowman Ave
SOUTH GATE CA 90280-6706
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VILLALOBOS, MARIA DE JESUS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8197 Primary Status: Delinquent
Address :
424 S 6th St
MONTEBELLO CA 90640-5604
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VALLEJO, BENJAMIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8143 Primary Status: Current
Address :
651 S Eastman Ave
Apt A
LOS ANGELES CA 90023-1900
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROMERO, MARIA-OSIRIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8218 Primary Status: Current
Address :
1236 N Westmoreland Ave Apt 6
LOS ANGELES CA 90029-1922
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PRADO, DAVID JOE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8429 Primary Status: Current
Address :
10 W Bay State St
1421
ALHAMBRA CA 91802-3044
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ, MIRANDA YVETTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8248 Primary Status: Delinquent
Address :
1412 Birch St
MONTEBELLO CA 90640-6405
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TORRES, MICHELLE ANGELINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5023 Primary Status: Cancelled
Address :
8434 TWEEDY LANE #125
DOWNEY CA 90240
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARTER, ANTHONY MAURICE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6094 Primary Status: Current
Address :
12092 Calle Sombra Apt 86
MORENO VALLEY CA 92557-7029
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIAZ, CAROLINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6364 Primary Status: Cancelled
Address :
1722 1/2 36TH ST
LOS ANGELES CA 90018
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, MIRANDA YVETTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40962 Primary Status: Delinquent
Address :
5628 Via Corona St
LOS ANGELES CA 90022-2802
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROMERO, MARIA-OSIRIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40039 Primary Status: Current
Address :
8500 Washington Blvd
PICO RIVERA CA 90660-3788
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, TRACY RAMOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40708 Primary Status: Current
Address :
PO Box 2341
CRESTLINE CA 92325-2341
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RUEZGA, ANABEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3792 Primary Status: Delinquent
Address :
1205 Cypress St Spc 83
SAN DIMAS CA 91773-3519
LOS ANGELES COUNTY



