California State Board of Optometry

Licensing details for: 71370

Name: WAL-MART VISION CENTER #2546

Doing Business As: WAL-MART, INC.

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

2300 N Tustin St
ORANGE CA 92865
Map

Issuance Date

February 23, 2024

Expiration Date

February 28, 2026

Current Date / Time

November 5, 2025
9:15:55 PM

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

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Dominguez, Ebony Alexis

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43671 Primary Status: Current

Address :
1442 E Lincoln Ave # 275
ORANGE CA 92865-1934
ORANGE COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: VANSUCH, THOMAS GREGORY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43442 Primary Status: Current

Address :
PO BOX 28205
ANAHEIM CA 92809
ORANGE COUNTY