California State Board of Optometry
Licensing details for: 6462
Name: NATIONAL VISION EYECARE CENTER #2553
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Previous Names: VISION CENTER #2553
Address of Record
6650 HEMBREE LANE
WINDSOR CA 95492
SONOMA 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: KENNEDY, ROBERT T JR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 723 Primary Status: Current
Address :
19499 Moon Ridge Rd
HIDDEN VALLEY LAKE CA 95467-8606
LAKE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLNER, LUTCHIE C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40396 Primary Status: Delinquent
Address :
221 South Cloverdale Blvd.
Ste. A
CLOVERDALE CA 95425
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HEIMANN, RICHARD A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 632 Primary Status: Cancelled
Address :
4535 Mirage Dr
CASTLE ROCK CO 80108-9040
DOUGLAS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HILLER, DAVID L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2715 Primary Status: Cancelled
Address :
1126 TAL CIRCLE
SANTA ROSA CA 95401
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ibarra Aceves, Maria Magdalena
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42144 Primary Status: Current
Address :
6650 Hembree Ln
WINDSOR CA 95492-9739
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BRADY, PATRICIA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5085 Primary Status: Cancelled
Address :
14161 HOLIDAY ROAD #71
REDDING CA 96003
SHASTA COUNTY
