California State Board of Optometry
Licensing details for: 6890
Name: WAL-MART #3493
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1021 ARNOLD DR
MARTINEZ CA 94553
CONTRA COSTA 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: HARRIS, BRENDA E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1325 Primary Status: Cancelled
Address :
142 N. MILPITAS BLVD. #198
MILPITAS CA 95035
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RABUTASO, JASON L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1737 Primary Status: Current
Address :
311 CALAIS DR
PINOLE CA 94564
CONTRA COSTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ESTRADA, BLENIA LUCIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1749 Primary Status: Cancelled
Address :
11220 La Coruna Ln
BONITA SPRINGS FL 34135-5357
LEE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CRUZ, ALELI M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1067 Primary Status: Current
Address :
808 ANTONIA CIRCLE
PINOLE CA 94564
CONTRA COSTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORNING, MISTY AUTUMN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1755 Primary Status: Cancelled
Address :
108 Sharon St
VALLEJO CA 94589-2240
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGHIEM, ASHLIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2242 Primary Status: Cancelled
Address :
4040 Hidden Valley Ln
SAN JOSE CA 95127-2527
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HONG, JA K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1421 Primary Status: Cancelled
Address :
1311 ROSEANN DR
MARTINEZ CA 94553
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CRUZ, ALELI M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3445 Primary Status: Current
Address :
808 ANTONIA CIR
PINOLE CA 94564
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EGAN, DANIEL MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4877 Primary Status: Cancelled
Address :
1408 ALHAMBRA AVE
MARTINEZ CA 94553
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGHIEM, ASHLIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6844 Primary Status: Current
Address :
5108 Julia Berger Cir
FAIRFIELD CA 94534-4283
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORNING, MISTY AUTUMN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5595 Primary Status: Cancelled
Address :
108 Sharon St
VALLEJO CA 94589-2240
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SUISON, DENMARK BELANGEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4442 Primary Status: Cancelled
Address :
231 LARISSA LANE
VALLEJO CA 94590
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HONG, JA K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4949 Primary Status: Cancelled
Address :
1311 ROSEANN DR
MARTINEZ CA 94553
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESPERA-BENITO, MYRA EJERCITO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43903 Primary Status: Current
Address :
2246 Maho Bay Cir
PITTSBURG CA 94565-7902
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RABUTASO, JASON L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5743 Primary Status: Current
Address :
311 CALAIS DR
PINOLE CA 94564
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Francis, Ranjini Devi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41783 Primary Status: Current
Address :
2909 Windsor Dr
ANTIOCH CA 94509-5055
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Alarcon, Lauren Kaye
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41647 Primary Status: Delinquent
Address :
1896 Lynwood Dr.
Bldg. C
CONCORD CA 94519
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESTRADA, BLENIA LUCIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5580 Primary Status: Cancelled
Address :
661 Palm Ave
MARTINEZ CA 94553-3429
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lerot, James Benedick Abat
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41521 Primary Status: Current
Address :
2344 Woodhill Dr
PITTSBURG CA 94565-7332
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sammee, Namra
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41512 Primary Status: Current
Address :
2203 Loveridge Rd
PITTSBURG CA 94565-5021
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RASHID, NEELAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5093 Primary Status: Cancelled
Address :
260 KINGSBERRY PLACE
PITTSBURG CA 94565
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, BRENDA E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4927 Primary Status: Cancelled
Address :
142 N. MILPITAS BLVD. #198
MILPITAS CA 95035
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: IHRIG, MARK JEROME
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40684 Primary Status: Current
Address :
233 Village Pl
MARTINEZ CA 94553-4158
CONTRA COSTA COUNTY



