California State Board of Optometry
Licensing details for: 6761
Name: WAL-MART VISION CENTER #2735
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
6051 Florin Rd
SACRAMENTO CA 95823-2304
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: MADARANG, JESUS M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1396 Primary Status: Current
Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
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: CASTELLANOS, ANA M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1870 Primary Status: Current
Address :
7326 SPRINGMAN STREET
SACRAMENTO CA 95822
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BROWN, ANDRIA NICOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2101 Primary Status: Current
Address :
55 Quasar Cir
SACRAMENTO CA 95822-4956
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VACA, SHANNON RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2312 Primary Status: Current
Address :
6051 Florin Rd
SACRAMENTO CA 95823-2304
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MENDOZA, CYNTHIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1331 Primary Status: Cancelled
Address :
7104 CARDENAS WAY
SACRAMENTO CA 95828
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NOVOSELOV, YELENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2019 Primary Status: Delinquent
Address Not Disclosed
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COOKE, KIMBERLY ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1220 Primary Status: Cancelled
Address :
16802 Valley Hi Dr
BANNING CA 92220-9566
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAUBNER, JOHN KENNETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4999 Primary Status: Cancelled
Address :
6600 OAK BRANCH CT
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENDOZA, CYNTHIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4954 Primary Status: Cancelled
Address :
7104 CARDENAS WAY
SACRAMENTO CA 95828
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CASTELLANOS, ANA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5943 Primary Status: Current
Address :
7326 SPRINGMAN STREET
SACRAMENTO CA 95822
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HER, AMY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40605 Primary Status: Current
Address :
6051 Florin Rd
SACRAMENTO CA 95823-2304
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VACA, SHANNON RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6845 Primary Status: Current
Address :
6051 Florin Rd
SACRAMENTO CA 95823-2304
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NOVOSELOV, YELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6487 Primary Status: Delinquent
Address Not Disclosed
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: BROWN, ANDRIA NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41935 Primary Status: Current
Address :
55 Quasar Cir
SACRAMENTO CA 95822-4956
SACRAMENTO COUNTY



