California State Board of Optometry
Licensing details for: 7019
Name: WAL-MART STORE # 3524
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
605 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO 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: MORALES, VICTORIA LAURA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2258 Primary Status: Current
Address :
8793 Wahl St
SANTEE CA 92071-3352
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TIONG, KAREN GRACE OLIVAR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1892 Primary Status: Cancelled
Address :
3193 Pine Ln
SPRING VALLEY CA 91978-2338
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DUENAS, CAROLINA VERONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1891 Primary Status: Cancelled
Address :
5170 ORANGE AVENUE #108
SAN DIEGO CA 92115
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHAVEZ, TANYA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8136 Primary Status: Current
Address :
560 Flower St Apt B
CHULA VISTA CA 91910-2275
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STRICKLAND, BRETT ERIC
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1402 Primary Status: Current
Address :
2043 Avenida Penasco
EL CAJON CA 92019-3522
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TIONG, KAREN GRACE OLIVAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5964 Primary Status: Delinquent
Address :
3193 PINE LANE
SPRING VALLEY CA 91878
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, VICTORIA LAURA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6871 Primary Status: Current
Address :
8793 Wahl St
SANTEE CA 92071-3352
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Alvarado, Yesenia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42072 Primary Status: Delinquent
Address :
742 S Milo Pl
PORTERVILLE CA 93257-7847
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALENCIA, ANA GABRIELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40616 Primary Status: Current
Address :
1401 S Harbor Blvd
Apt# 2A
LA HABRA CA 90631-7556
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATA, TIFFANY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40879 Primary Status: Delinquent
Address :
132 Wilkie Way Apt A
EL CAJON CA 92021-4093
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHAVEZ, TANYA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40614 Primary Status: Current
Address :
560 Flower St Apt B
CHULA VISTA CA 91910-2275
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STRICKLAND, BRETT ERIC
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5033 Primary Status: Current
Address :
2043 Avenida Penasco
EL CAJON CA 92019-3522
SAN DIEGO COUNTY



