California State Board of Optometry
Licensing details for: 4237
Name: J C PENNEY OPTICAL #946
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Delinquent

Previous Names: J C PENNEY OPTICAL
Address of Record
340 SOUTHLAND MALL
HAYWARD CA 94545
ALAMEDA county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SULLIVAN, TINA SATARA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6177 Primary Status: Cancelled
Address :
20177 LEROY DR
CASTRO VALLEY CA 94546
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NAND, SHASHI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5952 Primary Status: Current
Address :
340 Southland Mall
HAYWARD CA 94545-2132
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KOLYBAKOS, MARY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4120 Primary Status: Cancelled
Address :
6131 COUNTRY CLUB DIRVE
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HELTON, PENNY CANDY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4126 Primary Status: Cancelled
Address :
118 GROVE WAY
HAYWARD CA 94541
ALAMEDA COUNTY



