California State Board of Optometry
Licensing details for: 7699
Name: WAL-MART VISION CENTER # 3796
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1333 N MOUNTAIN AVENUE
ONTARIO CA 91762
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: VALADEZ, DANIEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7971 Primary Status: Cancelled
Address :
155 Stony Point Rd Apt 26
SANTA ROSA CA 95401-6047
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MACIAS, NANCY VANESSA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1751 Primary Status: Delinquent
Address :
1208 Alila Ave
DELANO CA 93215-1152
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SMITH, KIMBERLY JEAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2147 Primary Status: Current
Address :
10096 Live Oak Ave
CHERRY VALLEY CA 92223-4406
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NORTON, SANDRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8228 Primary Status: Current
Address :
1743 Amador Ave
ONTARIO CA 91764-1103
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARRILLO, VERONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8204 Primary Status: Cancelled
Address :
17082 Dolphin St
FONTANA CA 92336-3249
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LONG, LINDSEY MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8125 Primary Status: Current
Address :
15233 Carmelita Ave
CHINO HILLS CA 91709-2712
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARRILLO, VERONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40443 Primary Status: Cancelled
Address :
17082 Dolphin St
FONTANA CA 92336-3249
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Romero, John P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43491 Primary Status: Current
Address :
1333 N Mountain Ave
ONTARIO CA 91762-1105
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LONG, LINDSEY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40430 Primary Status: Current
Address :
15233 Carmelita Ave
CHINO HILLS CA 91709-2712
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SMITH, KIMBERLY JEAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6115 Primary Status: Current
Address :
1333 N Mountain Ave
ONTARIO CA 91762-1105
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Moreno, David Joe
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42098 Primary Status: Delinquent
Address :
13125 Concord Dr
VICTORVILLE CA 92392-8783
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NORTON, SANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41164 Primary Status: Current
Address :
1743 Amador Ave
ONTARIO CA 91764-1103
SAN BERNARDINO COUNTY
