California State Board of Optometry
Licensing details for: 6973
Name: WAL-MART 3516
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1360 EAST LAKE PARKWAY
CHULA VISTA CA 91915
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: VINH, JOHN BAO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1476 Primary Status: Cancelled
Address :
413 ALDERSON STREET
EL CAJON CA 92019
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Wilkinson, Suzanne George
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2136 Primary Status: Delinquent
Address :
1360 Eastlake Pkwy
CHULA VISTA CA 91915-4116
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DIAZ, JESSICA JANETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1496 Primary Status: Cancelled
Address :
1433 PEQUENA STREET
SAN DIEGO CA 92154
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pferdehirt, Charito Palomar
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41716 Primary Status: Current
Address :
912 Helix Ave
CHULA VISTA CA 91911-2310
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Segura-Jimenez, Alejandro Emiliano
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43579 Primary Status: Current
Address :
971 Fourth Ave Apt 2
CHULA VISTA CA 91911-2013
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Najarila, Betsy B.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42958 Primary Status: Current
Address :
1221 Battle Creek Rd
CHULA VISTA CA 91913-1675
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Wilkinson, Suzanne George
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6446 Primary Status: Delinquent
Address :
1360 Eastlake Pkwy
Vision Center
1360 East Lake Pkwy
CHULA VISTA CA 91915-4116
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIAZ, JESSICA JANETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5039 Primary Status: Cancelled
Address :
1433 PEQUENA STREET
SAN DIEGO CA 92154
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mulligan, Joseph Bradley
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41354 Primary Status: Current
Address :
1962 Aiken Rd
SHELBYVILLE KY 40065-9704
SHELBY COUNTY
