California State Board of Optometry
Licensing details for: 6959
Name: WAL MART STORE # 2418
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
4300 MISSOURI FLAT RD
PLACERVILLE CA 95667
EL DORADO 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: SCHWARTZ, DIANE LIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8158 Primary Status: Current
Address :
2951 Fort Jim Rd
PLACERVILLE CA 95667-7981
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RANDALL, LEZA-MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8451 Primary Status: Current
Address :
4480 Fowler Ln
DIAMOND SPRINGS CA 95619-9707
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BERNARDINO, RENEE MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2253 Primary Status: Current
Address :
2819 Morrene Dr.
PLACERVILLE CA 95667-4824
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANDOVAL, ELIZABETH A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1744 Primary Status: Cancelled
Address :
1431 OLD RANCH ROAD
PLACERVILLE CA 95667
EL DORADO 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: BENZAKRY, CECELIA EVERITT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1439 Primary Status: Cancelled
Address :
46 SUN SHOWER PLACE
SACRAMENTO CA 95823
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RANDALL, LEZA-MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6862 Primary Status: Current
Address :
4480 Fowler Ln
DIAMOND SPRINGS CA 95619-9707
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BERNARDINO, RENEE MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6270 Primary Status: Current
Address :
2819 Morrene Dr
PLACERVILLE CA 95667-4824
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANDOVAL, ELIZABETH A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5663 Primary Status: Cancelled
Address :
1431 OLD RANCH ROAD
PLACERVILLE CA 95667
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PIERCE-ZYTOWSKI, JUDITH K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5350 Primary Status: Cancelled
Address :
6100 PLEASANT VALLEY RD #35
EL DORADO CA 95623
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOOMIS, RICHARD CHARLES II
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40944 Primary Status: Current
Address :
2948 Robindale Dr
PLACERVILLE CA 95667-5121
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCHWARTZ, DIANE LIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40348 Primary Status: Current
Address :
2951 Fort Jim Rd
PLACERVILLE CA 95667-7981
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BERG, DENNIS KEVIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5015 Primary Status: Cancelled
Address :
4561 WANDERING WAY
CAMINO CA 95709
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BENZAKRY, CECELIA EVERITT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5129 Primary Status: Cancelled
Address :
46 SUN SHOWER PLACE
SACRAMENTO CA 95823
SACRAMENTO COUNTY
