California State Board of Optometry
Licensing details for: 70941
Name: Optical Center inside CVS Pharmacy #27533
Doing Business As: CVS AOC Services, L.L.C.
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
2138 N Tustin St
ORANGE CA 92865-3712
ORANGE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Servin De La Mora, Gladys Marlenne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41106 Primary Status: Current
Address :
2869 S Cypress Point Dr
ONTARIO CA 91761-7442
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KAWECKI, JOHN STEVEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4851 Primary Status: Current
Address :
8167 Vineyard Ave Apt 119
RANCHO CUCAMONGA CA 91730-3392
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WALLACE, AUSTIN DAVID
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5200 Primary Status: Cancelled
Address :
2901 E Black Horse Dr
ONTARIO CA 91761-9111
SAN BERNARDINO COUNTY
