California State Board of Optometry
Licensing details for: 6934
Name: WAL-MART #1588
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
11896 AMARGOSA RD
VICTORVILLE CA 92395
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: Ortiz, Kiara TATIANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9263 Primary Status: Current
Address :
15500 Mesquite Ave
VICTORVILLE CA 92394
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NEWTON, KELLIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1334 Primary Status: Cancelled
Address :
13311 PARAISO RD
APPLE VALLEY CA 92308
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ANDERSON, CHARUAN ANN MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1405 Primary Status: Cancelled
Address :
PO Box 861
HELENDALE CA 92342-0861
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LUEKEN, CHRISTINA M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 857 Primary Status: Cancelled
Address :
15133 KIMBALL STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JOYNER, WENDY KIM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1734 Primary Status: Delinquent
Address :
14507 Oakdale Cir
ADELANTO CA 92301-4879
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANDERS, PATRICIA FAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2137 Primary Status: Cancelled
Address :
PO Box 307
HELENDALE CA 92342-0307
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Silva, Randy Raymond
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8374 Primary Status: Current
Address :
801 N Imperial Ave
ONTARIO CA 91764-3623
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROMAN, CHERISH ANGELINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8417 Primary Status: Current
Address :
17100 Bearvalley Road
408
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BASH, DONNA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1440 Primary Status: Cancelled
Address :
15082 KITFOX LANE
VICTORVILLE CA 92394
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VOGT, CANDICE M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5656 Primary Status: Cancelled
Address :
11497 TAMARISK AVENUE
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANDERS, PATRICIA FAWN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3967 Primary Status: Cancelled
Address :
PO BOX 3755
HELENDALE CA 92342
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAILEY, SARA JEANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5515 Primary Status: Cancelled
Address :
1069 ENCANTO DR
SAN JACINTO CA 92582
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANDERSON, CHARUAN ANN MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4974 Primary Status: Cancelled
Address :
PO Box 861
HELENDALE CA 92342-0861
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NEWTON, KELLIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4960 Primary Status: Cancelled
Address :
13311 PARAISO RD
APPLE VALLEY CA 92308
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BASH, DONNA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4961 Primary Status: Cancelled
Address :
15082 KITFOX LANE
VICTORVILLE CA 92394
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DEMASI, NICOLE MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40233 Primary Status: Current
Address :
9669 Timberlane Ave
HESPERIA CA 92345-5446
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ortiz, Kiara TATIANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43653 Primary Status: Current
Address :
15500 Mesquite Ave
VICTORVILLE CA 92394-5517
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Silva, Randy Raymond
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41285 Primary Status: Current
Address :
801 N Imperial Ave
ONTARIO CA 91764-3623
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOYNER, WENDY KIM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5307 Primary Status: Delinquent
Address :
14507 Oakdale Cir
ADELANTO CA 92301-4879
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROMAN, CHERISH ANGELINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40653 Primary Status: Current
Address :
17100 Bear Valley Rd # 408
VICTORVILLE CA 92395-8320
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LUEKEN, CHRISTINA M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2070 Primary Status: Cancelled
Address :
15133 KIMBALL ST
HESPERIA CA 92345
SAN BERNARDINO COUNTY
