California State Board of Optometry
Licensing details for: 6904
Name: WAL-MART #2636
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
8230 TALBERT AVE
HUNTINGTON BEACH CA 92646
ORANGE 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: KHIEV, PAULINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1344 Primary Status: Cancelled
Address :
724-A E 8TH STREET
LONG BEACH CA 90813
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: EL-SAYED, OMAR CAMDOMANES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1872 Primary Status: Current
Address :
222 N MULLER STREET # 39
ANAHEIM CA 92801
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CASTILLO, RENAN MARASIGAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1391 Primary Status: Current
Address :
7934 Azalea Dr
BUENA PARK CA 90620-1920
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MC CABE, JAMES D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 417 Primary Status: Cancelled
Address :
522 E COLLINS AVE
ORANGE CA 92867
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Diores, JENNIFER ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8282 Primary Status: Current
Address :
8841 Lola Ave
ANAHEIM CA 92804-5014
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PALENCIA, ANA GABRIELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2319 Primary Status: Current
Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EL-SAYED, OMAR CAMDOMANES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40660 Primary Status: Current
Address :
222 N Muller St Apt 39
ANAHEIM CA 92801-5460
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KHIEV, PAULINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4994 Primary Status: Cancelled
Address :
724A E 8th St
LONG BEACH CA 90813-4608
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CASTILLO, RENAN MARASIGAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4975 Primary Status: Current
Address :
7934 AZALEA DR
BUENA PARK CA 90620
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MC CABE, JAMES D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1510 Primary Status: Cancelled
Address :
522 E COLLINS AVE
ORANGE CA 92867
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: sanchez, margaret allison
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43327 Primary Status: Current
Address :
12521 Camus Ln
2
GARDEN GROVE CA 92841-4130
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALEZ, BERNIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41032 Primary Status: Current
Address :
26502 Towne Centre Dr
FOOTHILL RANCH CA 92610
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Diores, JENNIFER ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40672 Primary Status: Current
Address :
8841 Lola Ave
ANAHEIM CA 92804-5014
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHEN, YUNG-CHENG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5690 Primary Status: Delinquent
Address :
6242 WARNER AVE # 10-A
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Heo, Yuri Sur-Bin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43749 Primary Status: Current
Address :
15237 Santa Gertrudes Ave # U202
LA MIRADA CA 90638-5071
LOS ANGELES COUNTY
