California State Board of Optometry
Licensing details for: 11460
Name: BALDWIN, SUSAN MARY
License Type: Optometrist
Primary Status: Current

Specialty: TLG
Address of Record
430 Blue Ravine Rd
FOLSOM CA 95630-3402
SACRAMENTO county
Map
License Relationships
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Optometrist
Related Party Role: Registered Dispensing Ophthalmic Business
Name: TARGET OPTICAL #4789
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70837 Primary Status: Current
Address :
430 Blue Ravine Rd
FOLSOM CA 95630-3402
SACRAMENTO COUNTY
Statement of Licensure to Optometrist
License/Registration Role: Optometrist
Related Party Role: Statement of Licensure
Name: BALDWIN, SUSAN MARY
License/Registration Type: Statement of Licensure
License Number: 13720 Primary Status: Current
Address :
7147 Greenback Ln
CITRUS HEIGHTS CA 95621-5526
SACRAMENTO COUNTY



