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: PRADO, DAVID JOE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8429 Primary Status: Current
Address :
10 W Bay State St
1421
ALHAMBRA CA 91802-3044
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
436
PASADENA CA 91107
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 Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PRADO, DAVID JOE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6203 Primary Status: Current
Address :
1217 Edith Ave
F
ALHAMBRA CA 91803-2424
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hernandez, Julianne R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42571 Primary Status: Current
Address :
217 N Houser Dr
COVINA CA 91722-3726
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 :
2445 E Del Mar blvd
436
PASADENA CA 91107
LOS ANGELES COUNTY



