California State Board of Optometry

Licensing details for: 5714

Name: NATIONAL VISION EYECARE CENTER #1881

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Previous Names: NATIONAL VISION ASSO ❖ NATIONAL VISION ASSO #1881

Address of Record

7901 WATT AVE
ANTELOPE CA 95843
SACRAMENTO county
Map

Issuance Date

January 8, 1993

Expiration Date

January 31, 2005

Current Date / Time

November 6, 2025
4:0:27 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MADARANG, JESUS M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4582 Primary Status: Current

Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
SACRAMENTO COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Wiggins, MISTI DAWN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4995 Primary Status: Current

Address :
9270 Sinnard Ave
LIVE OAK CA 95953-9645
SUTTER COUNTY