California State Board of Optometry
Licensing details for: 5412
Name: ACEVEDO, DIANA MARIE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Previous Names: BARRAZA, DIANA MARIE
Address of Record
635 E HUFF ST
RIALTO CA 92376-7198
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: WAL-MART STORE #1693
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6958 Primary Status: Current
Address :
2050 WEST REDLANDS BLVD
REDLANDS CA 92374
SAN BERNARDINO 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 # 1862
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7081 Primary Status: Current
Address :
1366 S Riverside Ave
RIALTO CA 92376-7608
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: ACEVEDO, DIANA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1595 Primary Status: Current
Address :
635 E HUFF ST
RIALTO CA 92376-7198
SAN BERNARDINO COUNTY



