California State Board of Optometry
Licensing details for: 6990
Name: WAL-MART STORE # 1692
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1120 S MT VERNON AVENUE
COLTON CA 92324
SAN BERNARDINO 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: CORZA, SARAI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9061 Primary Status: Current
Address :
25606 Vespucci Ave
MORENO VALLEY CA 92557-7631
RIVERSIDE 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: 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: OCHOA, STELLA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1945 Primary Status: Current
Address :
11643 Carmine St. Unit #101
RIVERSIDE CA 92505
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LADERE, JAMES D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1384 Primary Status: Cancelled
Address :
20235 SUGAR GUM ROAD
RIVERSIDE CA 92508
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERRERA, CYNTHIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8096 Primary Status: Delinquent
Address :
2894 Kathleen St
RIVERSIDE CA 92506-4329
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MALDONADO, PABLO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8173 Primary Status: Current
Address :
1040 S Mount Vernon Ave
Ste G-334
COLTON CA 92324-4228
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VICTOR, ANEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2161 Primary Status: Cancelled
Address :
13845 CAMP ROCK ST
CORONA CA 92880
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOMEZ, JESUS FELIPE JR.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40278 Primary Status: Delinquent
Address :
6029 Palm Ave
Apt 12
RIVERSIDE CA 92506-2094
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: OCHOA, STELLA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5558 Primary Status: Current
Address :
11643 Carmine St Unit 101
RIVERSIDE CA 92505-3320
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EUSEBIO, LISETH E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5444 Primary Status: Cancelled
Address :
228 W WOODCREST ST
RIALTO CA 92376
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LIRA, NORMA L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6247 Primary Status: Delinquent
Address :
1330 W Norwood St
RIALTO CA 92377-4420
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CASTREJON, NANCY ORTEGA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40299 Primary Status: Current
Address :
PO Box 650
TWIN PEAKS CA 92391-0650
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANN, SANDRA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6037 Primary Status: Cancelled
Address :
1279 E OLIVE STREET
COLTON CA 92324
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAY, PHANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5948 Primary Status: Cancelled
Address :
1699 E WASHINGTON ST APT 1101
COLTON CA 92324
SAN BERNARDINO COUNTY
