California State Board of Optometry
Licensing details for: 6958
Name: WAL-MART STORE #1693
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
2050 WEST REDLANDS BLVD
REDLANDS CA 92374
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: LE, HUY NGOC
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2175 Primary Status: Cancelled
Address :
1969 W 16th St
SAN BERNARDINO CA 92411-1565
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, MIRIAN ELIZABETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2150 Primary Status: Cancelled
Address :
7757 Alder Ave
FONTANA CA 92336-2729
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, CAROLINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8022 Primary Status: Cancelled
Address :
12510 Aspenview St
VICTORVILLE CA 92392-6290
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JIMENEZ, ABEL S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1814 Primary Status: Cancelled
Address :
7798 DEL ROSA AVE
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LUPIAN, SHELLY LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1763 Primary Status: Cancelled
Address :
3142 Cedar St
RIVERSIDE CA 92501-2332
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ACEVEDO, DIANA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1595 Primary Status: Current
Address :
635 E HUFF ST
RIALTO CA 92376-7198
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LOPEZ, DAVID ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1820 Primary Status: Delinquent
Address :
10583 OLEANDER AVE
FONTANA CA 92337
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MUNOZ, MELISSA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2128 Primary Status: Cancelled
Address :
223 LA BOCA ROAD
SAN JACINTO CA 92582
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LAM, GARY Q
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1397 Primary Status: Cancelled
Address :
1742 E SAN BERNARDINO AVE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SILVA, CAROLINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40180 Primary Status: Cancelled
Address :
12510 Aspenview St
VICTORVILLE CA 92392-6290
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NUNEZ, GILBERT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40308 Primary Status: Current
Address :
5205 Hummingbird Way
BANNING CA 92220-7227
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MUNOZ, MELISSA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6423 Primary Status: Cancelled
Address :
223 LA BOCA ROAD
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: LAM, GARY Q
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5051 Primary Status: Cancelled
Address :
1742 E SAN BERNARDINO AVE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LUPIAN, SHELLY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4667 Primary Status: Cancelled
Address :
6985 CENTER ST
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chavez, Natalia Denise
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43507 Primary Status: Current
Address :
7641 Bonnie St
SAN BERNARDINO CA 92410-4602
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ACEVEDO, DIANA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5412 Primary Status: Current
Address :
635 E HUFF ST
RIALTO CA 92376-7198
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Urzua, Jose Arnoldo Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41633 Primary Status: Current
Address :
1333 N Mountain Ave
ONTARIO CA 91762-1105
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JIMENEZ, ABEL SANCHEZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5615 Primary Status: Cancelled
Address :
7798 DEL ROSA AVENUE
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOPEZ, DAVID ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5905 Primary Status: Cancelled
Address :
10583 OLEANDER AVE
FONTANA CA 92337
SAN BERNARDINO COUNTY
