California State Board of Optometry
Licensing details for: 6977
Name: WAL-MART 5140
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5500 GROSSMONT CENTER DRIVE
LA MESA CA 91942
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: TIONG, KAREN GRACE OLIVAR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1892 Primary Status: Cancelled
Address :
3193 Pine Ln
SPRING VALLEY CA 91978-2338
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MILLS, LEENELL MOE'NA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8251 Primary Status: Current
Address :
13201 Holly Tree Ln
POWAY CA 92064-4646
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUYER, GABRIEL THERIAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1504 Primary Status: Cancelled
Address :
4948 SARATOGA AVE #A
SAN DIEGO CA 92167
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LEGASPI, CHERRY-MARIE BUNDALIAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8060 Primary Status: Cancelled
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: LA SOGGA, AGUSTIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1321 Primary Status: Cancelled
Address :
1168 SHORE EAST ST
THERMAL CA 92274
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLS, LEENELL MOE'NA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40804 Primary Status: Current
Address :
13201 Holly Tree Ln
POWAY CA 92064-4646
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUYER, GABRIEL THERIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5333 Primary Status: Cancelled
Address :
4948 SARATOGA AVE APT A
SAN DIEGO CA 92107
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CAPPS, WADE LARRY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5184 Primary Status: Cancelled
Address :
29653 WATSON RD
ROMOLAND CA 92585
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEGASPI, CHERRY-MARIE BUNDALIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40907 Primary Status: Delinquent
Address :
5500 Grossmont Center Dr
LA MESA CA 91942-3016
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RAMIREZ, CARLOS EDUARDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40893 Primary Status: Current
Address :
2617 Highland Ave
1
SAN DIEGO CA 92105-4340
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LA SOGGA, AGUSTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4914 Primary Status: Cancelled
Address :
1168 SHORE EAST STREET
THERMAL CA 92274
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARPENTER, DAMIEN JISSON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5252 Primary Status: Cancelled
Address :
3119 SWEETWATER SPRING #67
SPRING VALLEY CA 91978
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TIONG, KAREN GRACE OLIVAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5964 Primary Status: Delinquent
Address :
3193 PINE LANE
SPRING VALLEY CA 91878
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAREZA, DALISAY BAIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40808 Primary Status: Current
Address :
6722 Rolando Knolls Dr
LA MESA CA 91942-5819
SAN DIEGO COUNTY
