California State Board of Optometry
Licensing details for: 6971
Name: WAL-MART STORE 5075
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: WAL-MART STORE # 5075
Address of Record
3405 MARRON ROAD
OCEANSIDE CA 92056
SAN DIEGO 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: VILLANUEVA, CARMEN EULALIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1803 Primary Status: Current
Address :
254 GANNET DRIVE
VISTA CA 92083
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1389 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1381 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SIDDIQUI, WASEEMUL HASAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2012 Primary Status: Cancelled
Address :
509 RUSH DRIVE #56
SAN MARCOS CA 92078
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VILLANUEVA, DIANA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1813 Primary Status: Cancelled
Address :
254 Gannet Dr
VISTA CA 92083-3011
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROY, KEN E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1386 Primary Status: Cancelled
Address :
1440 SUNRISE DR
VISTA CA 92084
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Beltre, Angela Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8449 Primary Status: Current
Address :
39474 Via Montero
MURRIETA CA 92563-5532
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HALPIN, WILLIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2025 Primary Status: Cancelled
Address :
1213 BREWLEY LANE
VISTA CA 92081
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PULVER, STEPHANIE MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5291 Primary Status: Cancelled
Address :
333 SIPPLE STREET
OCEANSIDE CA 92054
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOBAREZ, JOYCE EMOR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41779 Primary Status: Current
Address :
835 Verona Ave
SAN JACINTO CA 92583-2962
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VILLANUEVA, DIANA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5612 Primary Status: Cancelled
Address :
254 Gannet Dr
VISTA CA 92083-3011
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5084 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIDDIQUI, WASEEMUL HASAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6000 Primary Status: Cancelled
Address :
509 RUSH DRIVE %56
SAN MARCOS CA 92078
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VILLANUEVA, CARMEN EULALIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5889 Primary Status: Current
Address :
254 GANNET DR
VISTA CA 92083
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Beltre, Angela Michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41313 Primary Status: Current
Address :
39474 Via Montero
MURRIETA CA 92563-5532
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3917 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HALPIN, WILLIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2645 Primary Status: Cancelled
Address :
1213 Brewley Ln
VISTA CA 92081-9029
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROY, KEN E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5090 Primary Status: Cancelled
Address :
1440 SUNRISE DR
VISTA CA 92084
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MC CABE, RICK A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1137 Primary Status: Cancelled
Address :
95-200 AKULI PLACE
MILILANI HI 96789
HONOLULU COUNTY
