California State Board of Optometry
Licensing details for: 7207
Name: SAMS CLUB 6609
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
34220 MONTEREY AVE
PALM DESERT CA 92260
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: HEYMANN, JAMES MICHAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1752 Primary Status: Cancelled
Address :
81620 Avenue 49 # 141
INDIO CA 92201-6788
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SHARP, CINDI K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1531 Primary Status: Cancelled
Address :
11984 AUTUMN WIND LANE
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ SILVA, GABRIELA RAQUEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8126 Primary Status: Current
Address :
81388 Green Ave
INDIO CA 92201-5337
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SAUCEDO, JULIO CESAR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8391 Primary Status: Current
Address :
325 S Flower St
C
SANTA ANA CA 92703-5204
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HARRIS, RENEE' KELLY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8440 Primary Status: Current
Address :
61832 LOCARNO HEIGHTS
MOUNTAIN CENTER CA 92561
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FULINARA, VANESSA MONTEFALCON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1747 Primary Status: Cancelled
Address :
42740 JACQUELINE CIR
PALM DESERT CA 92260
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Shaffer, Matthew Russell
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42052 Primary Status: Current
Address :
1222 Tumbleweed Ct
BEAUMONT CA 92223-8590
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HAMMONS, LESLIE H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4074 Primary Status: Cancelled
Address :
SAMS CLUB #6609
34220 MONTEREY AVE
PALM DESERT CA 92211
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HEYMANN, JAMES MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5676 Primary Status: Cancelled
Address :
81620 AVE 49 # 141
INDIO CA 92201
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ SILVA, GABRIELA RAQUEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40398 Primary Status: Current
Address :
81388 Green Ave
INDIO CA 92201-5337
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SAUCEDO, JULIO CESAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41174 Primary Status: Current
Address :
325 S Flower St Apt C
SANTA ANA CA 92703-3944
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, RENEE' KELLY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6767 Primary Status: Current
Address :
61832 Locarno Hts
MOUNTAIN CENTER CA 92561-3664
RIVERSIDE COUNTY



