California State Board of Optometry
Licensing details for: 8231
Name: JACKSON, REGINALD DERWIN
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
1383 Birch St
SAN BERNARDINO CA 92410-2245
SAN BERNARDINO 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 VISION CENTER #1992
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7130 Primary Status: Current
Address :
1540 W FOOTHILL BLVD
UPLAND CA 91786
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: JACKSON, REGINALD DERWIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40917 Primary Status: Current
Address :
1383 Birch St
SAN BERNARDINO CA 92410
SAN BERNARDINO COUNTY



