California State Board of Optometry
Licensing details for: 7696
Name: WAL-MART VISION CENTER # 1915
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
58501 29 PALMS HWY
YUCCA VALLEY CA 92284
SAN BERNARDINO 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: ELLIOTT, PAUL JEROME
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8543 Primary Status: Delinquent
Address :
po box 917
JOSHUA TREE CA 92252
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STANKEWITZ, JAMES JACOB
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8153 Primary Status: Current
Address :
257 Colonial Heights Dr
MUNFORD TN 38058-6803
TIPTON COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DEMASI, LINDA JEAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8053 Primary Status: Cancelled
Address :
15197 Fir St
HESPERIA CA 92345-4318
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DAVIS, LISA LARAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8048 Primary Status: Cancelled
Address :
4576 Camarilla Ave
YUCCA VALLEY CA 92284-1226
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KNAPP, MICHELE LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1916 Primary Status: Cancelled
Address :
34672 Double Diamond Dr
THOUSAND PALMS CA 92276-4153
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHAJON, MYRA JOHANNA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8889 Primary Status: Current
Address :
57003 Antelope Trl
YUCCA VALLEY CA 92284-2817
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DEMASI, LINDA JEAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6867 Primary Status: Delinquent
Address :
15197 FIR STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAVIS, LISA LARAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6879 Primary Status: Cancelled
Address :
4576 Camarilla Ave
YUCCA VALLEY CA 92284-1226
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STANKEWITZ, JAMES JACOB
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40507 Primary Status: Current
Address :
257 Colonial Heights Dr
MUNFORD TN 38058-6803
TIPTON COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ELLIOTT, PAUL JEROME
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41078 Primary Status: Current
Address :
8748 Rainbow Ridge Rd
JOSHUA TREE CA 92252-0887
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KNAPP, MICHELE LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5900 Primary Status: Cancelled
Address :
34672 Double Diamond Dr
THOUSAND PALMS CA 92276-4153
RIVERSIDE COUNTY
