California State Board of Optometry
Licensing details for: 6987
Name: WAL-MART STORE # 1747
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1800 N PERRIS BLVD
PERRIS CA 92571-2701
RIVERSIDE 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: CARDENA, ILEANA DEL PILAR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1514 Primary Status: Cancelled
Address :
25060 HANCOCK AVE STE 103
PO BOX 350
MURRIETA CA 92562
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VALERA, MARGARITA GARCIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8004 Primary Status: Current
Address :
PO Box 2762
RANCHO CUCAMONGA CA 91729-2762
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CASTRO-ALCINA, LESLIE PICILA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1615 Primary Status: Cancelled
Address :
1051 W EL NORTE PKWY APT 140
ESCONDIDO CA 92026
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: REYNOLDS, DENISE G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 780 Primary Status: Cancelled
Address :
4476 NO SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SEIBEL, MARISELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2090 Primary Status: Current
Address :
20360 Souder St
PERRIS CA 92570
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HADDADIN, NAJWA A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8088 Primary Status: Current
Address :
27261 Tree Rose Ave
MURRIETA CA 92562-8000
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BANUELOS, ANDREA M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1807 Primary Status: Cancelled
Address :
22215 NORMA ST
PERRIS CA 92570
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LIRA, NORMA L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2062 Primary Status: Delinquent
Address :
1330 W Norwood St
RIALTO CA 92377-4420
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MUNIZ, PATRICIA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2243 Primary Status: Current
Address :
1357 Groveland St
BEAUMONT CA 92223-3256
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYNOLDS, DENISE G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2091 Primary Status: Cancelled
Address :
4476 N SAN BENITO ST
SAN BERNARDINO CA 92407
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MUNIZ, PATRICIA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41707 Primary Status: Current
Address :
1357 Groveland St
BEAUMONT CA 92223
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARDENA, ILEANA DEL PILAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5401 Primary Status: Cancelled
Address :
25060 HANCOCK AVE STE 103
PMB 350
MURRIETA CA 92562
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HADDADIN, NAJWA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40153 Primary Status: Current
Address :
27261 Tree Rose Ave
MURRIETA CA 92562-8000
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARREOLA, KARINA PAULINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6379 Primary Status: Current
Address :
1800 N Perris Blvd
PERRIS CA 92571-2701
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CASTRO-ALCINA, LESLIE PICILA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5445 Primary Status: Cancelled
Address :
1051 W EL NORTE PKWY APT 140
ESCONDIDO CA 92026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORRIS, JANIE LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40374 Primary Status: Current
Address :
12189 Indian St
MORENO VALLEY CA 92557-7217
RIVERSIDE COUNTY



