California State Board of Optometry
Licensing details for: 6972
Name: WAL-MART 3522
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3250 BIG DALTON AVENUE
BALDWIN PARK CA 91706
LOS ANGELES 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: LY, KIM BA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1592 Primary Status: Cancelled
Address :
3573 WHISTLER AVE
EL MONTE CA 91732
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ESQUER, UTE ROSE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1479 Primary Status: Cancelled
Address :
2501 BELGRAVE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SYPOWICZ, DENNIS M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1395 Primary Status: Current
Address :
2445 E Del Mar Blvd Apt 436
PASADENA CA 91107-4863
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALHILLY, NANCY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8233 Primary Status: Delinquent
Address :
811 Crenshaw Blvd Apt 107
LOS ANGELES CA 90005-3635
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SEGURA, ANDREA MARIBEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8040 Primary Status: Current
Address :
2001 W Garvey Ave N Apt 10
WEST COVINA CA 91790-2077
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KYTE, MARLENE JUNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1398 Primary Status: Cancelled
Address :
835 W MOUNTAIN VIEW STREET
ALTADENA CA 91001-4926
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALHILLY, NANCY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40604 Primary Status: Delinquent
Address :
811 Crenshaw Blvd Apt 107
LOS ANGELES CA 90005-3635
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESQUER, UTE ROSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4166 Primary Status: Cancelled
Address :
2501 BELGRAVE AVE
HUNTINGTON PARK CA 90255
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KYTE, MARLENE JUNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5111 Primary Status: Cancelled
Address :
835 W MOUNTAIN VIEW STREET
ALTADENA CA 91001-4926
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SEGURA, ANDREA MARIBEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40316 Primary Status: Current
Address :
2001 W Garvey Ave N Apt 10
WEST COVINA CA 91790-2077
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SYPOWICZ, DENNIS M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5040 Primary Status: Current
Address :
APT 436
2445 E DEL MAR BLVD
PASADENA CA 91107
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LY, KIM BA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5389 Primary Status: Cancelled
Address :
3573 WHISTLER AVE
EL MONTE CA 91732
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUNTER, ROSHAL S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4515 Primary Status: Cancelled
Address :
7405 WESTERN BAY DR
BUENA PARK CA 90621
ORANGE COUNTY



