California State Board of Optometry
Licensing details for: 7205
Name: WALMART VISION CENTER 2110
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
14501 LAKEWOOD BLVD
PARAMOUNT CA 90723
LOS ANGELES 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: KING, ADAM AARON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2218 Primary Status: Current
Address :
1018 ½ S Vancouver Ave
½
LOS ANGELES CA 90022-3981
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BALAM, NICO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1880 Primary Status: Current
Address :
12706 WALDORF DRIVE
LYNWOOD CA 90262
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KING, ADAM AARON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42051 Primary Status: Current
Address :
1018 1/2 S Vancouver Ave
1/2
LOS ANGELES CA 90022-3976
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Fletes, Alex
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43627 Primary Status: Current
Address :
13435 Obispo Ave
PARAMOUNT CA 90723-2332
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BALAM, NICO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4478 Primary Status: Current
Address :
12706 WALDORF DR
LYNWOOD CA 90262
LOS ANGELES COUNTY



