California State Board of Optometry
Licensing details for: 6893
Name: WAL-MART #2948
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
13310 TELEGRAPH RD
SANTA FE SPRINGS CA 90670
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: SIU, GILBERT JEFFREY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1550 Primary Status: Current
Address :
21814 LINDA DRIVE
TORRANCE CA 90503
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ORDONEZ, ISAAC
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1442 Primary Status: Cancelled
Address :
828 CEDAR AVE
CHULA VISTA CA 91911
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ, STEVEN ZACHARY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8268 Primary Status: Current
Address :
440 N Euclid St
ANAHEIM CA 92801-5531
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STRICKLAND, BRETT ERIC
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1402 Primary Status: Current
Address :
2043 Avenida Penasco
EL CAJON CA 92019-3522
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DOGOLDOGOL, CAROLINE ROSETTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1501 Primary Status: Current
Address :
12038 IMPERIAL HWY # 20
NORWALK CA 90650
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1389 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Molina, Brandon A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8895 Primary Status: Current
Address :
11217 Dicky St
WHITTIER CA 90606-1825
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOORMAN, EARL NEAL JR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1604 Primary Status: Current
Address :
433 Nickel Creek Dr
RAMONA CA 92065-2111
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SMITH, ROMONA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8112 Primary Status: Cancelled
Address :
11625 Tina St
NORWALK CA 90650-1743
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BENNETT, DEBRA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7998 Primary Status: Cancelled
Address :
52 Calle De Felicidad
RANCHO SANTA MARGARITA CA 92688-2884
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOORMAN, EARL NEAL JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5115 Primary Status: Current
Address :
433 Nickel Creek Dr
RAMONA CA 92065-2111
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Molina, Brandon A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43212 Primary Status: Delinquent
Address :
11217 Dicky St
WHITTIER CA 90606-1825
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIAZ, JESSICA JANETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5039 Primary Status: Cancelled
Address :
1433 PEQUENA STREET
SAN DIEGO CA 92154
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STRICKLAND, BRETT ERIC
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5033 Primary Status: Current
Address :
2043 Avenida Penasco
EL CAJON CA 92019-3522
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHAVEZ, JESSICA SARAH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40652 Primary Status: Delinquent
Address :
15017 Hornell St
WHITTIER CA 90604-2120
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUNTER, ROSHAL S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4515 Primary Status: Cancelled
Address :
7405 WESTERN BAY DR
BUENA PARK CA 90621
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SMITH, ROMONA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40400 Primary Status: Cancelled
Address :
812 Eds Blvd
SHREVEPORT LA 71107
CADDO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BENNETT, DEBRA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40097 Primary Status: Cancelled
Address :
52 Calle De Felicidad
RANCHO SANTA MARGARITA CA 92688-2884
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LADERE, JAMES D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4963 Primary Status: Cancelled
Address :
20235 SUGAR GUM ROAD
RIVERSIDE CA 92508
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DOGOLDOGOL, CAROLINE ROSETTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5237 Primary Status: Current
Address :
12038 Imperial Hwy Apt 20
NORWALK CA 90650-3016
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ORDONEZ, ISAAC
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4971 Primary Status: Cancelled
Address :
828 CEDAR AVE
CHULA VISTA CA 91911
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, STEVEN ZACHARY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6863 Primary Status: Current
Address :
440 N Euclid St
ANAHEIM CA 92801-5531
ORANGE COUNTY
