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: 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 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 Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Au, Andrew Khai
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42469 Primary Status: Current
Address :
10655 Folsom Blvd
RANCHO CORDOVA CA 95670-4828
SACRAMENTO COUNTY
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: Pulanco, Rebecca
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43565 Primary Status: Current
Address :
6041 Casa Alegre
CARMICHAEL CA 95608-6547



