California State Board of Optometry
Licensing details for: 6879
Name: SAM'S CLUB #4704
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
7663 NO. BLACKSTONE AVE
FRESNO CA 93720
FRESNO 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: Hanks, Riley
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9125 Primary Status: Current
Address :
6166 E Townsend Ave
FRESNO CA 93727-5619
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SAPP, BILL JOE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1388 Primary Status: Cancelled
Address :
7090 N FRUIT AVE # 151
FRESNO CA 93711
FRESNO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SPONHOLZ, RICHARD JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1922 Primary Status: Cancelled
Address :
5626 N LOLA AVE
FRESNO CA 93722
FRESNO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LANDERS, SARA E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1488 Primary Status: Cancelled
Address :
7663 N Blackstone Ave
FRESNO CA 93720-4306
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SAPP, BILL JOE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5095 Primary Status: Cancelled
Address :
7090 N FRUIT AVE # 151
FRESNO CA 93711
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LANDERS, SARA E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4897 Primary Status: Cancelled
Address :
7663 N Blackstone Ave
FRESNO CA 93720-4306
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARION, NICOLE DANIELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40767 Primary Status: Current
Address :
6300 N. PALM AVE
Unit 114
FRESNO CA 93704-3947
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Renteria, Sonia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43171 Primary Status: Current
Address :
6415 N Remington Ave Apt 101
FRESNO CA 93704-1173
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SARRETT, MICHAEL I
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4308 Primary Status: Cancelled
Address :
235 W. LEXINGTON AVE #203
FRESNO CA 93711
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIFUENTES, ANGELA RUSSELL SCOTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40662 Primary Status: Cancelled
Address :
41145 Long Hollow Dr
COARSEGOLD CA 93614-9143
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, TIMOTHY JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5353 Primary Status: Delinquent
Address :
4669 E PRINCETON AVE
FRESNO CA 93703
FRESNO COUNTY



