California State Board of Optometry
Licensing details for: 43653
Name: Ortiz, Kiara TATIANA
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
15500 Mesquite Ave
VICTORVILLE CA 92394-5517
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 #1588
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6934 Primary Status: Current
Address :
11896 AMARGOSA RD
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Ortiz, Kiara TATIANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9263 Primary Status: Current
Address :
15500 Mesquite Ave
VICTORVILLE CA 92394



