California State Board of Optometry
Licensing details for: 7093
Name: WAL-MART VISION CENTER # 1912
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
479 N MCKINLEY ST
CORONA CA 92879
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: HYDE, WILLIAM CHARLES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1544 Primary Status: Cancelled
Address :
2590 BUCHANAN STREET
PERRIS CA 92571
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GORNOPOLSKY, GALINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1993 Primary Status: Cancelled
Address :
6788 PHOENIX AVENUE
RIVERSIDE CA 92504
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RUBIO, ANGELICA P.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2262 Primary Status: Current
Address :
25332 Lone Acres Rd
MENIFEE CA 92584-9637
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1381 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SWEENEY, JEFFREY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1478 Primary Status: Cancelled
Address :
603 SHENANDOAH AVE
SAN MARCOS CA 92078
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ISOM, JAMES A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5084 Primary Status: Cancelled
Address :
2345 MORRO ROAD
FALLBROOK CA 92028
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SALDANA, JIMMY V.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6726 Primary Status: Cancelled
Address :
377 W 17th St Apt C
SAN BERNARDINO CA 92405-4432
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GORNOPOLSKY, GALINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6090 Primary Status: Cancelled
Address :
6788 PHOENIX AVENUE
RIVERSIDE CA 92504
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HYDE, WILLIAM CHARLES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5416 Primary Status: Cancelled
Address :
2590 BUCHANAN CT
PERRIS CA 92571
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ LUJAN, MARIA ELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6038 Primary Status: Current
Address :
6730 Sundance Trl
RIVERSIDE CA 92506-5041
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Subia, David William
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43894 Primary Status: Current
Address :
4655 Minnier Ave Apt 67B
RIVERSIDE CA 92505-2834
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RUBIO, ANGELICA P.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41337 Primary Status: Current
Address :
25332 Lone Acres Rd
MENIFEE CA 92584-9637
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERRERA, CYNTHIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40546 Primary Status: Delinquent
Address :
2894 Kathleen St
RIVERSIDE CA 92506-4329
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROSAS SOSA, JESUS TADEO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42984 Primary Status: Current
Address :
24246 Powell Pl
MORENO VALLEY CA 92553-3559
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALA, PATRICK DEAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40115 Primary Status: Current
Address :
1524 W Vesta St
ONTARIO CA 91762-2818
SAN BERNARDINO COUNTY



