California State Board of Optometry
Licensing details for: 8143
Name: VALLEJO, BENJAMIN
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
651 S Eastman Ave
Apt A
LOS ANGELES CA 90023-1900
LOS ANGELES county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART #2886
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6891 Primary Status: Current
Address :
8500 WASHINGTON BLVD
PICO RIVERA CA 90660
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: VISIONWORKS
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71267 Primary Status: Current
Address :
17064 Slover Ave
C-104
FONTANA CA 92337
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: VISIONWORKS
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71276 Primary Status: Current
Address :
3639 Riverside Plaza Dr Ste 518
RIVERSIDE CA 92506-2718
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIMMEL, ALITHIA BETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6573 Primary Status: Current
Address :
17792 Palo Verde Ave
CERRITOS CA 90703-2667
LOS ANGELES COUNTY



