California State Board of Optometry
Licensing details for: 7017
Name: WAL-MART STORE # 5032
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
8450 LA PALMA AVE
BUENA PARK CA 90620
ORANGE 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: FAIRES, MARIA PAULA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1441 Primary Status: Cancelled
Address :
17811 LA COSTA
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BONILLA, MARTHA NATIVIDAD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1430 Primary Status: Cancelled
Address :
828 W BEACH AVE APT 9
INGLEWOOD CA 90302
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 Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ-CASTILLO, RICARDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1902 Primary Status: Cancelled
Address :
2533 CATHY AVENUE
POMONA CA 91768
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORDELL, ANNIE LAINE HONRADA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8212 Primary Status: Current
Address :
7317 El Domino Way
APT 2
BUENA PARK CA 90620-2644
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: EL-SAYED, KARIM CAMPOMANES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1465 Primary Status: Current
Address :
222 N Muller St Apt 39
ANAHEIM CA 92801-5460
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUNTER, ROSHAL S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1360 Primary Status: Cancelled
Address :
7405 WESTERN BAY DR
BUENA PARK CA 90621
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BONILLA, MARTHA NATIVIDAD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5194 Primary Status: Cancelled
Address :
828 W BEACH AVE APT 9
INGLEWOOD CA 90302
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EL-SAYED, KARIM CAMPOMANES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5346 Primary Status: Current
Address :
222 N Muller St Apt 39
ANAHEIM CA 92801-5460
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Garcia, Victor
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41612 Primary Status: Current
Address :
1250 N. State College Blvd
#20
ANAHEIM CA 92806
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: CORDELL, ANNIE LAINE HONRADA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40647 Primary Status: Current
Address :
7317 El Domino Way
APT 2
BUENA PARK CA 90620-2644
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FAIRES, MARIA PAULA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5109 Primary Status: Cancelled
Address :
17811 LA COSTA
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUNTER, ROSHAL S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4515 Primary Status: Cancelled
Address :
7405 WESTERN BAY DR
BUENA PARK CA 90621
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MACIAS, NANCY VANESSA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6838 Primary Status: Delinquent
Address :
1208 Alila Ave
DELANO CA 93215-1152
KERN COUNTY



