California State Board of Optometry
Licensing details for: 7175
Name: WAL-MART VISION CENTER 5156
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1540 E 2ND ST
BEAUMONT CA 92223
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: GALLARDO, CHRISTOPHER AARON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2158 Primary Status: Current
Address :
1540 E 2nd St
BEAUMONT CA 92223-3101
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DEER, TAMMY RUTH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2282 Primary Status: Delinquent
Address :
2942 Tecoma Dr
KNOXVILLE TN 37917-2373
KNOX COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MENA, DANIEL MASAHARU
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8159 Primary Status: Current
Address :
1400 Barton Rd
2609
REDLANDS CA 92373-5475
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ATCHISSON, LAURIE A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1792 Primary Status: Current
Address :
PO Box 1423
YERMO CA 92398-1423
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DRUSE, MICHAEL MATTHEW
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1455 Primary Status: Cancelled
Address :
1457 Lighthouse Rd
SAN MARCOS CA 92078-1026
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ODONNELL, MAUREEN M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2287 Primary Status: Current
Address :
35238 COUNTY LINE ROAD
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENA, DANIEL MASAHARU
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6384 Primary Status: Current
Address :
1400 Barton Rd
2609
REDLANDS CA 92373-5475
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ODONNELL, MAUREEN M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6793 Primary Status: Current
Address :
35238 COUNTY LINE ROAD
YUCAIPA CA 92399
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DEER, TAMMY RUTH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6586 Primary Status: Delinquent
Address :
36251 Avenida De Las Montanas
CATHEDRAL CITY CA 92234-1534
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATCHISSON, LAURIE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2990 Primary Status: Current
Address :
PO Box 1423
YERMO CA 92398-1423
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SEIBEL, MARISELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42440 Primary Status: Current
Address :
20360 Souder St
PERRIS CA 92570-6332
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DRUSE, MICHAEL MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5122 Primary Status: Cancelled
Address :
1457 Lighthouse Rd
SAN MARCOS CA 92078-1026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GALLARDO, CHRISTOPHER AARON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6510 Primary Status: Current
Address :
1540 E 2nd St
BEAUMONT CA 92223-3101
RIVERSIDE COUNTY
