California State Board of Optometry
Licensing details for: 70594
Name: SAM'S CLUB OPTICAL # 6616
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
603 S Placentia Ave
FULLERTON CA 92831-5112
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: GONZALEZ, MELISSA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2226 Primary Status: Current
Address :
30049 Big Country Dr
MENIFEE CA 92584-1304
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WILSON, ADAM J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1790 Primary Status: Cancelled
Address :
15605 Cascade Loop
NEVADA CITY CA 95959-9571
NEVADA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ, ADRIAN JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1582 Primary Status: Current
Address :
2270 AVENIDA LA PAZ
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lopez, Derron JG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41598 Primary Status: Delinquent
Address :
602 S. Alvy St.
ANAHEIM CA 92802
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, ADRIAN JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6530 Primary Status: Current
Address :
2270 AVENIDA LA PAZ
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALEZ, MELISSA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6748 Primary Status: Delinquent
Address :
30049 Big Country Dr
MENIFEE CA 92584-1304
RIVERSIDE COUNTY
