California State Board of Optometry
Licensing details for: 40804
Name: MILLS, LEENELL MOE'NA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
13201 Holly Tree Ln
POWAY CA 92064-4646
SAN DIEGO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART 5140
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6977 Primary Status: Current
Address :
5500 GROSSMONT CENTER DRIVE
LA MESA CA 91942
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART VISION CENTER #2479
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71376 Primary Status: Current
Address :
3412 College Ave
SAN DIEGO CA 92115-7134
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART STORE 3494
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6970 Primary Status: Current
Address :
732 CENTER DRIVE
SAN MARCOS CA 92069
SAN DIEGO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: MILLS, LEENELL MOE'NA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8251 Primary Status: Current
Address :
13201 Holly Tree Ln
POWAY CA 92064-4646
SAN DIEGO COUNTY



