California State Board of Optometry

Licensing details for: 5771

Name: J C PENNEY OPTICAL #1040

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

3401 DALE RD
MODESTO CA 95356-0595
STANISLAUS county
Map

Issuance Date

June 25, 1993

Expiration Date

June 30, 2015

Current Date / Time

November 7, 2025
11:58:27 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HURTADO, AILEEN DEANNE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4634 Primary Status: Cancelled

Address :
2700 Marina Dr Apt 23
MODESTO CA 95355-2255
STANISLAUS COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BYER, JACQUELEN KAY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3804 Primary Status: Cancelled

Address :
3286 BLUE RIDGE CIRCLE # 37
STOCKTON CA 95219
SAN JOAQUIN COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CAMACHO, ISRAEL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5978 Primary Status: Cancelled

Address :
1294 DEBENMARK PL
SAN DIEGO CA 92154
SAN DIEGO COUNTY