California State Board of Optometry
Licensing details for: 7059
Name: WAL-MART # 1832
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
5601 E RAMON RD
PALM SPRINGS CA 92262
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: CLOSSON, WILLIAM LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1460 Primary Status: Cancelled
Address :
16655 AVENIDA RAMBLA
DESERT HOT SPRINGS CA 92240
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BRADLEY, CHEYENNE LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1466 Primary Status: Cancelled
Address :
11681 VIETTA TERRACE
SAN DIEGO CA 92126
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRAVES, ANTHONY WAYNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1052 Primary Status: Current
Address :
27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JARAMILLO, MARIO FERNANDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1467 Primary Status: Cancelled
Address :
68176 30TH AVE
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SCOTT, LAKEVIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8289 Primary Status: Current
Address :
28673 Avenida Marquesa
CATHEDRAL CITY CA 92234-3716
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SILVA, CAROLINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8022 Primary Status: Cancelled
Address :
12510 Aspenview St
VICTORVILLE CA 92392-6290
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARCIA, FELIPA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1938 Primary Status: Current
Address :
69151 Cascades Ct
CATHEDRAL CITY CA 92234-2929
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JAMES, DUANE LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1554 Primary Status: Cancelled
Address :
69155 DINAH SHORE DR APT 59
CATHEDRAL CITY CA 92234-4794
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEARLMAN, FAITH S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1791 Primary Status: Current
Address :
49399 CONEJO RD
MORONGO VALLEY CA 92256
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DENNISON, PHILIP BYRON 2nd
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6490 Primary Status: Current
Address :
67487 Rio Naches Rd
CATHEDRAL CITY CA 92234-8654
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, FELIPA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42087 Primary Status: Current
Address :
69151 Cascades Ct
CATHEDRAL CITY CA 92234-2929
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BRADLEY, CHEYENNE LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5254 Primary Status: Cancelled
Address :
11681 VIETTA TERRACE
SAN DIEGO CA 92126
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JARAMILLO, MARIO FERNANDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3004 Primary Status: Cancelled
Address :
68176 30TH AVE
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCOTT, LAKEVIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41157 Primary Status: Current
Address :
28673 Avenida Marquesa
CATHEDRAL CITY CA 92234-3716
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SILVA, CAROLINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40180 Primary Status: Cancelled
Address :
12510 Aspenview St
VICTORVILLE CA 92392-6290
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRAVES, ANTHONY WAYNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2801 Primary Status: Current
Address :
27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CLOSSON, WILLIAM LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4887 Primary Status: Cancelled
Address :
16655 AVENIDA RAMBLA
DESERT HOT SPRINGS CA 92240
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MALDONADO, CRYSTAL LORRAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40876 Primary Status: Cancelled
Address :
52370 Date Ave
CABAZON CA 92230-5235
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEARLMAN, FAITH SHARYN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40472 Primary Status: Current
Address :
49399 Conejo Rd
MORONGO VALLEY CA 92256-9285
SAN BERNARDINO COUNTY



