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Licensing details for: 71375

Name: WAL-MART VISION CENTER #2621

Doing Business As: Wal-Mart Inc.

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Previous Names: Wal-Mart Vision Center #2621

Address of Record

255 Cochran St
SIMI VALLEY CA 93065-6276
VENTURA county
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Issuance Date

February 23, 2024

Expiration Date

February 29, 2028

Current Date / Time

April 4, 2026
10:08:36 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: HERRICK, LARA KAYE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9169 Primary Status: Current

Address :
255 Cochran St
SIMI VALLEY CA 93065-6276
VENTURA COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERRICK, LARA KAYE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40809 Primary Status: Current

Address :
50 Majestic Ct #304
MOORPARK CA 93021-2189
VENTURA COUNTY

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