California State Board of Optometry
Licensing details for: 7217
Name: WALMART VISION CENTER #2082
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
12701 TOWNE CENTER DRIVE
CERRITOS CA 90703
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: ATKINS II, DARYL ANDRE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1471 Primary Status: Delinquent
Address :
916 W 41st Dr Apt D
LOS ANGELES CA 90037-1962
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATKINS II, DARYL ANDRE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5243 Primary Status: Delinquent
Address :
916 W 41st Dr Apt D
LOS ANGELES CA 90037-1962
LOS ANGELES COUNTY



