California State Board of Optometry
Licensing details for: 6960
Name: WAL MART STORE # 3276
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
4001 HALLMARK PARKWAY
SAN BERNARDINO CA 92407
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: LICON, BOBBIE-JO ALEXIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8176 Primary Status: Current
Address :
11406 Camino Miramontes
MIRA LOMA CA 91752-5027
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NAVARRO, STEFFY ANNMARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7991 Primary Status: Current
Address :
1284 W Alexander Ave
SAN BERNARDINO CA 92405-3036
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANDOVAL, AMY M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7987 Primary Status: Cancelled
Address :
3758 Piedmont Dr
HIGHLAND CA 92346-1983
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SALAZ, CHRISTOPHER MICHAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1970 Primary Status: Cancelled
Address :
1338 SANDPIPER LANE
CORONA CA 92881
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Albkairat, Mahmoud Hamdan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8544 Primary Status: Current
Address :
2199 Kellogg Ave
CORONA CA 92879-3148
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JONES, TERRANCE LEON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2116 Primary Status: Cancelled
Address :
16260 ORANGE STREET #B
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: REYNOLDS, DENISE G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 780 Primary Status: Cancelled
Address :
4476 NO SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PHILLIPS, HEATHER ELAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2097 Primary Status: Cancelled
Address :
30590 INDEPENDENCE AVENUE #B
REDLANDS CA 92374
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KURSTEINER JOHNSON, DANIEAL JO-ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5188 Primary Status: Cancelled
Address :
6008 HOMESTEAD ST
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHAJON, MYRA JOHANNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40615 Primary Status: Current
Address :
57003 Antelope Trl
YUCCA VALLEY CA 92284-2817
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LICON, BOBBIE-JO ALEXIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40680 Primary Status: Current
Address :
11406 Camino Miramontes
MIRA LOMA CA 91752-5027
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHILLIPS, HEATHER ELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6343 Primary Status: Cancelled
Address :
30590 INDEPENDENCE AVENUE #B
REDLANDS CA 92374
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JONES, TERRANCE LEON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6463 Primary Status: Cancelled
Address :
16260 ORANGE STREET #B
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: REYNOLDS, DENISE G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2091 Primary Status: Cancelled
Address :
4476 N SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANDOVAL, AMY M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6529 Primary Status: Cancelled
Address :
3568 CITRUS 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: NAVARRO, STEFFY ANNMARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6484 Primary Status: Current
Address :
1284 W ALEXANDER AVENUE
SAN BERNARDINO CA 92405
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SALAZ, CHRISTOPHER MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6052 Primary Status: Cancelled
Address :
1338 SANDPIPER LANE
CORONA CA 92881
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Albkairat, Mahmoud Hamdan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41870 Primary Status: Current
Address :
11415 Magnolia Ave
13
RIVERSIDE CA 92505
RIVERSIDE COUNTY



