California State Board of Optometry
Licensing details for: 5836
Name: NATIONAL VISION EYECARE CENTER #2030
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: VISION CENTER LOCATED IN WAL-MART # 2030 ❖ NATIONAL VISION ASSOCIATES
Address of Record
1101 SANGUINETTI RD
SONORA CA 95370
TUOLUMNE 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: MATHENY, JUSTIN BRYAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1432 Primary Status: Cancelled
Address :
P O BOX 473
SOULSBYVILLE CA 95372
TUOLUMNE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WAIGHT, TAMARA S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4041 Primary Status: Cancelled
Address :
PO BOX 810
COLUMBIA CA 95310-0810
TUOLUMNE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EVANS, JEFFREY MORGAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4908 Primary Status: Cancelled
Address :
PO BOX 464
BIG OAK FLAT CA 95305
TUOLUMNE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATHENY, JUSTIN BRYAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5192 Primary Status: Cancelled
Address :
16995 COLUMBIA RIVER
SONORA CA 95370
TUOLUMNE COUNTY
