California State Board of Optometry
Licensing details for: 6892
Name: SAM'S CLUB #6610
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
3951 GRAND AVE
CHINO CA 91710
SAN BERNARDINO 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: YOUNG, MARTIN J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8092 Primary Status: Cancelled
Address :
1310 E Navilla Pl
COVINA CA 91724-3549
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, Lisa Elaine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8297 Primary Status: Current
Address :
4736 Francis Ave
CHINO CA 91710-1717
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ, ANA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1580 Primary Status: Current
Address :
1174 W ELEVENTH ST
POMONA CA 91766
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NAASZ, ANDREA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1520 Primary Status: Delinquent
Address :
7218 Piute Creek Dr
CORONA CA 92881-4200
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCCORRY, MARCELLA DESIREE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1464 Primary Status: Cancelled
Address :
24845 METRIC DRIVE
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: HERNANDEZ, ANA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6350 Primary Status: Current
Address :
1174 W ELEVENTH STREET
POMONA CA 91766
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gonzales, Lisa Elaine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41096 Primary Status: Current
Address :
4736 Francis Ave
CHINO CA 91710-1717
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLISON, DEBRA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3632 Primary Status: Delinquent
Address :
2105-1 DUBLIN LN
DIAMOND BAR CA 91765
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YOUNG, MARTIN J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40447 Primary Status: Cancelled
Address :
1310 E Navilla Pl
COVINA CA 91724-3549
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUTIERREZ, KATHERINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40457 Primary Status: Cancelled
Address :
8429 63rd St
RIVERSIDE CA 92509-6006
RIVERSIDE COUNTY
