California State Board of Optometry
Licensing details for: 5200
Name: WALLACE, AUSTIN DAVID
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled
Address of Record
2901 E Black Horse Dr
ONTARIO CA 91761-9111
SAN BERNARDINO 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: LENSCRAFTERS INC #611
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5650 Primary Status: Current
Address :
2051 GALLERIA & TYLER
RIVERSIDE CA 92503
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS #5175
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70663 Primary Status: Current
Address :
2620 Tuscany St
CORONA CA 92881-4646
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS #2537
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7650 Primary Status: Current
Address :
12503 N MAIN ST
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: Optical Center inside CVS Pharmacy #27533
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70941 Primary Status: Cancelled
Address :
2138 N Tustin St
ORANGE CA 92865-3712
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: CVS AOC Corporation - OPTICAL CENTER INSIDE CVS/PHARMACY #27603
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71087 Primary Status: Cancelled
Address :
2138 N Tustin St
ORANGE CA 92865-3712
