California State Board of Optometry
Licensing details for: 7214
Name: WALMART SUPERCENTER #5154
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1827 WALNUT GROVE BLVD
ROSEMEAD CA 91770
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: MEDINA, LUCIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1684 Primary Status: Current
Address :
309 EAST MILL AVE
PORTERVILLE CA 93257
TULARE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TRANHOANG, HELEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1505 Primary Status: Current
Address :
8045 PICASSO
STANTON CA 90680
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GALLEGOS, JUDYT S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1645 Primary Status: Cancelled
Address :
2688 WORKMAN ST
LOS ANGELES CA 90031
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GALICIA, ANAIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2031 Primary Status: Current
Address :
3316 Beswick St
LOS ANGELES CA 90023-2907
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FERGUSON, DERRICK ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8042 Primary Status: Current
Address :
942 N Louise St
7
GLENDALE CA 91207-2053
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRANHOANG, HELEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5191 Primary Status: Current
Address :
8045 Picasso
STANTON CA 90680-3370
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Adame, Jesus Isaias
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42962 Primary Status: Current
Address :
3576 E 54th St
apt c
MAYWOOD CA 90270-2044
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Escobar, Kenia Xiomara
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43707 Primary Status: Current
Address :
5201 Santa Ana St
CUDAHY CA 90201-6023
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Garcia, Jonathan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43209 Primary Status: Current
Address :
356 Greendale Dr
LA PUENTE CA 91746-2748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, SAMANTHA ALEXANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40320 Primary Status: Current
Address :
802 S 3rd Ave
LA PUENTE CA 91746-2736
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERGUSON, DERRICK ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40050 Primary Status: Current
Address :
942 N Louise St
7
GLENDALE CA 91207-2053
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GALLEGOS, JUDYT S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5560 Primary Status: Cancelled
Address :
2688 WORKMAN ST
LOS ANGELES CA 90031
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DELGADO, GUADALUPE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40795 Primary Status: Current
Address :
801 S Union Ave Apt 309
LOS ANGELES CA 90017-2178
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GALICIA, ANAIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6148 Primary Status: Current
Address :
3316 BESWICK ST
LOS ANGELES CA 90023
LOS ANGELES COUNTY



