California State Board of Optometry
Licensing details for: 5835
Name: NATIONAL VISION EYECARE CENTER #2031
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: WAL-MART VISION CNETER #2031 ❖ WAL-MART VISION CENTER #2031 ❖ VISION CENTER LOCATED IN WAL-MART # 2031
Address of Record
30600 DYER ST
UNION CITY CA 94587
ALAMEDA county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TIONGSON, FREDERICK HERNANDEZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1522 Primary Status: Cancelled
Address :
3815 Southampton Ter
FREMONT CA 94555-2254
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BAILEN, LISA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1519 Primary Status: Current
Address :
3044 SAN MATEO WAY
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAILEN, LISA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5360 Primary Status: Current
Address :
3044 SAN MATEO WAY
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TIONGSON, FREDERICK HERNANDEZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4797 Primary Status: Cancelled
Address :
27499 PONDEROSA CT
HAYWARD CA 94545
ALAMEDA COUNTY
