California State Board of Optometry
Licensing details for: 6979
Name: WAL-MART 5164
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
11729 IMPERIAL HWY
NORWALK CA 90650
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: REYES, SINDI B
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2145 Primary Status: Cancelled
Address :
7611 S MAIN STREET
LOS ANGELES CA 90003
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ATKINS II, DARYL ANDRE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1471 Primary Status: Delinquent
Address :
916 W 41st Dr Apt D
LOS ANGELES CA 90037-1962
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANDOVAL, VICTOR MANUEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1607 Primary Status: Current
Address :
1433 1/2 S Sydney Dr
COMMERCE CA 90040-5625
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TALENS, ELBERT SANTAMARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1315 Primary Status: Cancelled
Address :
4083 WEST AVE L
LANCASTER CA 93536
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GAMERO, LAURA GABRIELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1413 Primary Status: Cancelled
Address :
1501 MAPLE CT
ALHAMBRA CA 91803
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GALICIA, JOHN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8296 Primary Status: Current
Address :
3316 Beswick St
LOS ANGELES CA 90023-2907
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NOLEAL, JOVELYN C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1373 Primary Status: Current
Address :
5482 Cathy Cir
CYPRESS CA 90630-4518
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NOLEAL, JOVELYN C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5060 Primary Status: Current
Address :
5482 Cathy Cir
CYPRESS CA 90630-4518
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARRIOS, EDUARDO ULISES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6675 Primary Status: Current
Address :
5950 S Main St
213
LOS ANGELES CA 90003-1271
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, SINDI B
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6300 Primary Status: Cancelled
Address :
7611 S MAIN STREET
LOS ANGELES CA 90003
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATKINS II, DARYL ANDRE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5243 Primary Status: Delinquent
Address :
916 W 41st Dr Apt D
LOS ANGELES CA 90037-1962
LOS ANGELES 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
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, STEVEN ZACHARY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6863 Primary Status: Current
Address :
440 N Euclid St
ANAHEIM CA 92801-5531
ORANGE COUNTY



