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 Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Trujillo Lopez, Celia Angelica
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43933 Primary Status: Current
Address :
3557 Kenora Dr Unit 1
SPRING VALLEY CA 91977-2917
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, VICTORIA LAURA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6871 Primary Status: Current
Address :
8793 Wahl St
SANTEE CA 92071-3352
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



