California State Board of Optometry
Licensing details for: 70541
Name: WALMART VISION CENTER #4392
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
12234 Palmdale Road
VICTORVILLE CA 92392
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: SANDERS, PATRICIA FAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2137 Primary Status: Cancelled
Address :
PO Box 307
HELENDALE CA 92342-0307
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANDERS, PATRICIA FAWN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3967 Primary Status: Cancelled
Address :
PO BOX 3755
HELENDALE CA 92342
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rodriguez Rodriguez, Kevin Ricardo
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43145 Primary Status: Current
Address :
24169 Roxbury Rd
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
