California State Board of Optometry
Licensing details for: 7138
Name: WAL-MART VISION CENTER #5193
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
12721 MORENO BEACH DR
MORENO VALLEY CA 92507
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: PEREZ LUJAN, MARIA ELENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1963 Primary Status: Current
Address :
6730 Sundance Trl
RIVERSIDE CA 92506-5041
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COOK, EMILEE BETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1966 Primary Status: Cancelled
Address :
555 E FRUITVALE AVENUE #910
HEMET CA 92543
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HORTON, CRYSTAL LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1736 Primary Status: Cancelled
Address :
14900 CLOVERFIELD ROAD
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRAVES, ANTHONY WAYNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1052 Primary Status: Current
Address :
27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ORTIZ, STACY ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2096 Primary Status: Cancelled
Address :
3019 SHADID DR
COLTON CA 92324-9759
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, HILDA YUDITH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40062 Primary Status: Current
Address :
13352 Holbeck Ct
MORENO VALLEY CA 92553-6215
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ORTIZ, STACY ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6338 Primary Status: Cancelled
Address :
3019 SHADID DR
COLTON CA 92324-9759
SAN BERNARDINO 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: HERNANDEZ, WILLIAM GEOVANY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42910 Primary Status: Current
Address :
11861 Venetian Dr
MORENO VALLEY CA 92557-6518
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COOK, EMILEE BETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5955 Primary Status: Cancelled
Address :
555 E FRUITVALE AVENUE #910
HEMET CA 92543
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRAVES, ANTHONY WAYNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2801 Primary Status: Current
Address :
27815 Via Sonata
MORENO VALLEY CA 92555-5854
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHEELER, JACOB RYAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6071 Primary Status: Delinquent
Address :
8218 Camino Alto Dr
RIVERSIDE CA 92504-2438
RIVERSIDE COUNTY
