California State Board of Optometry
Licensing details for: 6969
Name: WAL-MART STORE 3248
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1340 SOUTH BEACH BLVD
LA HABRA CA 90631
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: JEWETT, LISA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1316 Primary Status: Cancelled
Address :
4385 CASA GRANDE CIR #361
CYPRESS CA 90630
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AYALA, MARCO ANTONIO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8458 Primary Status: Delinquent
Address :
7822 2nd St
STANTON CA 90680-1617
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PARAISO, BRIAN LEGASPI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8041 Primary Status: Current
Address :
13048 Sutton St
CERRITOS CA 90703-8729
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PINZON, KATHLEEN M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1438 Primary Status: Current
Address :
5344 Persimmon Ave
TEMPLE CITY CA 91780-2801
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOTHERSHED, DEBORAH LATANYA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1342 Primary Status: Cancelled
Address :
7108 KITTYHAWK AVE
LOS ANGELES CA 90045
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JEWETT, LISA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4863 Primary Status: Cancelled
Address :
4385 CASA GRANDE CIR #361
CYPRESS CA 90630
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARAISO, BRIAN LEGASPI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40943 Primary Status: Current
Address :
13048 Sutton St
CERRITOS CA 90703-8729
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PINZON, KATHLEEN M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4196 Primary Status: Current
Address :
5344 Persimmon Ave
TEMPLE CITY CA 91780-2801
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ-CASTILLO, RICARDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6215 Primary Status: Cancelled
Address :
777 N Park Ave Apt 31
POMONA CA 91768-3663
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AYALA, MARCO ANTONIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40157 Primary Status: Delinquent
Address :
7822 2nd St
STANTON CA 90680-1617
ORANGE COUNTY
