California State Board of Optometry
Licensing details for: 6737
Name: WAL-MART #2457
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
10655 FOLSOM BLVD
RANCHO CORDOVA CA 95670
SACRAMENTO 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: SONNIK, VALENTIN D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8121 Primary Status: Current
Address :
4240 Clay Creek Way
SACRAMENTO CA 95838-2774
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NICHOLS, JOSEPH EDWARD III
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1288 Primary Status: Cancelled
Address :
6704 WHITSETT DRIVE
NORTH HIGHLANDS CA 95660
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PHAM, ANH DINH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1796 Primary Status: Current
Address :
12172 Hetch Hechy Dr
RANCHO CORDOVA CA 95742-8235
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BADIE, BEHROUZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1380 Primary Status: Current
Address :
4055 NEW YORK AVENUE
FAIR OAKS CA 95628
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOHAMMADI, PARVIZ DEHGHANI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1732 Primary Status: Current
Address :
8125 MOLOKAI WAY
FAIR OAKS CA 95628
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TSUJI, DAVID R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1333 Primary Status: Cancelled
Address :
8612 RAYMUS STREET
ELK GROVE CA 95758
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Pulanco, Rebecca
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9197 Primary Status: Current
Address :
6041 Casa Alegre
CARMICHAEL CA 95608
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOHAMMADI, PARVIZ DEHGHANI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5584 Primary Status: Current
Address :
8125 MOLOKAI WAY
FAIR OAKS CA 95628
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VALENTINE, CHRISTINA LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4644 Primary Status: Cancelled
Address :
6234 HAPPY WAY
MARYSVILLE CA 95901
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TSUJI, DAVID R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4487 Primary Status: Cancelled
Address :
8612 RAYMUS STREET
ELK GROVE CA 95758
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NICHOLS, JOSEPH EDWARD III
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4613 Primary Status: Cancelled
Address :
6704 WHITSETT DRIVE
NORTH HIGHLANDS CA 95660
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PITTS, MACI NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40730 Primary Status: Current
Address :
7013 14th Ave
SACRAMENTO CA 95820-3435
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PULANCO, PATRICK J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6112 Primary Status: Current
Address :
6041 CASA ALEGRE
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHAM, ANH DINH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6660 Primary Status: Current
Address :
12172 Hetch Hechy Dr
RANCHO CORDOVA CA 95742-8235
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SONNIK, VALENTIN D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40510 Primary Status: Current
Address :
4240 Clay Creek Way
SACRAMENTO CA 95838-2774
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pulanco, Rebecca
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43565 Primary Status: Current
Address :
6041 Casa Alegre
CARMICHAEL CA 95608-6547



