California State Board of Optometry

Licensing details for: 42950

Name: KELLERMAN, SAMANTHA

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

15244 Espola Rd
POWAY CA 92064-2202
SAN DIEGO county
Map

Issuance Date

February 7, 2023

Expiration Date

February 28, 2027

Current Date / Time

November 5, 2025
8:56:41 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE # 1700

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7024 Primary Status: Current

Address :
13425 COMMUNITY RD
POWAY CA 92064
SAN DIEGO COUNTY