California State Board of Optometry
Licensing details for: 6975
Name: WAL-MART 5136
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1131 NORTH BEALE RD
MARYSVILLE CA 95901
YUBA 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: Catalano, Noah Isadore
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9280 Primary Status: Current
Address :
1131 N Beale Rd
MARYSVILLE CA 95901-6107
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MESSICK, KAREN DIANE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1415 Primary Status: Cancelled
Address :
863 Kelli Dr
YUBA CITY CA 95991-6162
SUTTER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MISULICH, KIMBERLY KAY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2231 Primary Status: Cancelled
Address :
1899 Pinewood Way
MARYSVILLE CA 95901-7315
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HAILE, CINDY RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8095 Primary Status: Delinquent
Address :
11272 Curry Trl
MARYSVILLE CA 95901-9456
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RING, JENNIFER LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1546 Primary Status: Cancelled
Address :
1585 MESSINA DRIVE
YUBA CITY CA 95993
SUTTER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GREEN, JOAN ELIZABETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8122 Primary Status: Current
Address :
1910 Whitewater Dr
MARYSVILLE CA 95901-8305
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PARKER-SHADWICK, PAULINE IRIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8757 Primary Status: Current
Address :
1925 BEVERLY AVE
OLIVEHURST CA 95961
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HORN, ASHLEY NICHOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8241 Primary Status: Delinquent
Address :
2072 River Rock Dr
MARYSVILLE CA 95901-8334
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RIVERA, ERICA NOEMI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2270 Primary Status: Delinquent
Address :
9653 richmond way
LIVE OAK CA 95953-2456
SUTTER COUNTY
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: DAUBNER, JOHN KENNETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1378 Primary Status: Cancelled
Address :
700 BOGUE ROAD #2
YUBA CITY CA 95991
SUTTER 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: HAILE, CINDY RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40275 Primary Status: Cancelled
Address :
11272 Curry Trl
MARYSVILLE CA 95901-9456
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HORN, ASHLEY NICHOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41023 Primary Status: Delinquent
Address :
2072 River Rock Dr
MARYSVILLE CA 95901-8334
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RIVERA, ERICA NOEMI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40221 Primary Status: Delinquent
Address :
9653 richmond way
LIVE OAK CA 95953-2456
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MISULICH, KIMBERLY KAY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6664 Primary Status: Cancelled
Address :
1899 Pinewood Way
MARYSVILLE CA 95901-7315
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOHNSON, SAMUEL DAVID
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5804 Primary Status: Cancelled
Address :
802 KELLI DRIVE
YUBA CITY CA 95991
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GREEN, JOAN ELIZABETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40406 Primary Status: Current
Address :
1910 Whitewater Dr
MARYSVILLE CA 95901-8305
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RING, JENNIFER LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5420 Primary Status: Cancelled
Address :
1585 MESSINA DRIVE
YUBA CITY CA 95993
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MESSICK, KAREN DIANE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5139 Primary Status: Cancelled
Address :
863 Kelli Dr
YUBA CITY CA 95991-6162
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: POWERS, TERRANCE R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5044 Primary Status: Cancelled
Address :
2351 SILVER SAGE CIRCLE
CARSON CITY NV 89701
CARSON CITY COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Catalano, Noah Isadore
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43465 Primary Status: Current
Address :
1131 N Beale Rd
MARYSVILLE CA 95901-6107
YUBA COUNTY
