California State Board of Optometry
Licensing details for: 7130
Name: WAL-MART VISION CENTER #1992
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1540 W FOOTHILL BLVD
UPLAND CA 91786
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: CHRISTENSEN, AMBER JANELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2121 Primary Status: Cancelled
Address :
2822 S DESERT FOREST AVENUE
ONTARIO CA 91761
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WOODALL, VICKI C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1738 Primary Status: Current
Address :
7781 WHITNEY DRIVE
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JACKSON, REGINALD DERWIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8231 Primary Status: Current
Address :
1383 Birch St
SAN BERNARDINO CA 92410-2245
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DREWRY, JEFFREY ETHAN MONROE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2189 Primary Status: Current
Address :
157 ORCHARD LANE
UPLAND CA 91786
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FLORES, MARIANN T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 683 Primary Status: Cancelled
Address :
2436 SULTANA AVE
ONTARIO CA 91761
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kessman, Katelynn Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43560 Primary Status: Current
Address :
4195 Kingsley St Unit 35
MONTCLAIR CA 91763-3578
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FLORES, MARIANN T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 131 Primary Status: Cancelled
Address :
2436 SULTANA AVE
ONTARIO CA 91761
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JACKSON, REGINALD DERWIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40917 Primary Status: Current
Address :
1383 Birch St
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WOODALL, VICKI C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5659 Primary Status: Current
Address :
7781 WHITNEY DRIVE
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Magana, Jennifer
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41171 Primary Status: Current
Address :
PO Box 293875
535 Cholla rd
PHELAN CA 92329-3875
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DREWRY, JEFFREY ETHAN MONROE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6568 Primary Status: Current
Address :
157 ORCHARD LANE
UPLAND CA 91786
SAN BERNARDINO COUNTY



