California State Board of Optometry
Licensing details for: 6978
Name: WAL-MART 5152
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
6433 FALLBROOK AVENUE
WEST HILLS CA 91307
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: MARTINEZ, MONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8353 Primary Status: Current
Address :
De Soto Ave
CHATSWORTH CA 91311-4265
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRANADOS HERNANDEZ, JUAN JOSE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9051 Primary Status: Current
Address :
1046 N Ridgewood Pl
LOS ANGELES CA 90038-3254
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: IBARRA, MANUEL EDWARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2171 Primary Status: Cancelled
Address :
24705 Riverchse Drive Apt 6206
VALENCIA CA 91355
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BAKHTIARI, PARVIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 765 Primary Status: Cancelled
Address :
22538 CRISWELL
WEST HILLS CA 91307
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VINAS, DAVID C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2289 Primary Status: Current
Address :
PO Box 21245
LOS ANGELES CA 90021-0245
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RODRIGUEZ, STEPHANIE G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8256 Primary Status: Current
Address :
6715 Elmer Ave Apt 3
NORTH HOLLYWOOD CA 91606-1926
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: IBARRA, MANUEL EDWARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6542 Primary Status: Cancelled
Address :
24705 Riverchase Dr Apt 6206
VALENCIA CA 91355-1424
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOZANO, MAYRA ALEJANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6595 Primary Status: Delinquent
Address :
21225 Roscoe Blvd Apt 55
CANOGA PARK CA 91304-4241
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VINAS, DAVID C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40885 Primary Status: Current
Address :
PO Box 21245
LOS ANGELES CA 90021-0245
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARTINEZ, MONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41397 Primary Status: Current
Address :
8761 De Soto Ave Apt 128
128
CANOGA PARK CA 91304-1919
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, STEPHANIE G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40982 Primary Status: Current
Address :
6715 Elmer Ave Apt 3
NORTH HOLLYWOOD CA 91606-1926
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAKHTIARI, PARVIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 507 Primary Status: Cancelled
Address :
22538 CRISWELL ST
CANOGA PARK CA 91307
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRANADOS HERNANDEZ, JUAN JOSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43331 Primary Status: Current
Address :
1046 N Ridgewood Pl
LOS ANGELES CA 90038-3254
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATEESCU, MARIANA IRINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5388 Primary Status: Cancelled
Address :
19543 BASSETT ST
RESEDA CA 91335
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GAITAN, DIANE WENDY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4717 Primary Status: Current
Address :
11950 Cohasset St
N HOLLYWOOD CA 91605-3104
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KARAGUEZIAN, KEVORK OHANNES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5120 Primary Status: Current
Address :
1355 RICHFIELD AVE
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ENGLISH, MARIAN MONIQUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4846 Primary Status: Cancelled
Address :
4803 MARTIN LUTHER KING #4
LOS ANGELES CA 90016
LOS ANGELES COUNTY



