California State Board of Optometry
Licensing details for: 7081
Name: WAL-MART VISION CENTER # 1862
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1366 S Riverside Ave
RIALTO CA 92376-7608
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: DIAZ BAEZ, MIGUEL ANGEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8078 Primary Status: Delinquent
Address :
3090 Harrison St
SAN BERNARDINO CA 92404-2530
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ACEVEDO, DIANA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1595 Primary Status: Current
Address :
635 E HUFF ST
RIALTO CA 92376-7198
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CASSIDY, JOHN F
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2186 Primary Status: Current
Address :
2860 W Birch St
RIALTO CA 92376-6708
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROGERS, THADDEUS MARTIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8594 Primary Status: Current
Address :
4305 Lakewood Dr
SAN BERNARDINO CA 92407-3315
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1389 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ACEVEDO, DIANA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5412 Primary Status: Current
Address :
635 E HUFF ST
RIALTO CA 92376-7198
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, DAISY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41131 Primary Status: Current
Address :
356 S Marvin Dr
SAN BERNARDINO CA 92410-1926
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CASSIDY, JOHN F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4217 Primary Status: Current
Address :
2860 BIRCH ST
RIALTO CA 92376
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIAZ BAEZ, MIGUEL ANGEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40620 Primary Status: Cancelled
Address :
13020 Holmes St
YUCAIPA CA 92399-4954
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROGERS, THADDEUS MARTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40928 Primary Status: Current
Address :
4305 Lakewood Dr
SAN BERNARDINO CA 92407-3315
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUERRERO, ROSANA V.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3917 Primary Status: Current
Address :
20235 Sugar Gum Rd
RIVERSIDE CA 92508-3011
RIVERSIDE COUNTY
