California State Board of Optometry
Licensing details for: 6988
Name: WAL-MART STORE # 1755
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
4625 REDWOOD DRIVE
ROHNERT PARK CA 94928
SONOMA 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: SCOTT, RANDALL CHARLES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1474 Primary Status: Cancelled
Address :
409 KLUTE STREET
SANTA ROSA CA 95401
SONOMA 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: LE, HENRY HOAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1710 Primary Status: Cancelled
Address :
4560 HARMONY PLACE
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chimas Cabrera, DAPHNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8235 Primary Status: Current
Address :
4026 New Zealand Ave
SANTA ROSA CA 95407-2536
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TUSSING-MROZ, LAURA BETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2177 Primary Status: Cancelled
Address :
6468 Meadow Pines Ave
ROHNERT PARK CA 94928-2714
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Skutley, Andrew David
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9039 Primary Status: Current
Address :
4625 Redwood Dr
ROHNERT PARK CA 94928-7941
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Skutley, Andrew David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43131 Primary Status: Current
Address :
70 W Thomson Ave
SONOMA CA 95476-4379
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, ALYSSA NUEMI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40658 Primary Status: Current
Address :
649 Summerfield Rd
SANTA ROSA CA 95405-5459
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Calderon Flores, Gabriela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41919 Primary Status: Current
Address :
950 Coddingtown Ctr
SANTA ROSA CA 95401-3512
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gonzalez, Elena
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43771 Primary Status: Current
Address :
1732 E Cotati Ave
PENNGROVE CA 94951-9724
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TUSSING-MROZ, LAURA BETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6668 Primary Status: Cancelled
Address :
6468 Meadow Pines Ave
ROHNERT PARK CA 94928-2714
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCOTT, RANDALL CHARLES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5245 Primary Status: Cancelled
Address :
409 KLUTE STREET
SANTA ROSA CA 95401
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Perez Palominos, Stacy Maria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41939 Primary Status: Current
Address :
1000 Bellevue Ave
3022
SANTA ROSA CA 95407-2714
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lindfors, Amanda Lyn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43343 Primary Status: Current
Address :
4625 Redwood Dr
ROHNERT PARK CA 94928-7941
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lagmay, Nicole
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42360 Primary Status: Delinquent
Address :
733 Coddingtown Ctr
Target Optical
SANTA ROSA CA 95401-3510
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chimas Cabrera, DAPHNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40922 Primary Status: Current
Address :
4026 New Zealand Ave
SANTA ROSA CA 95407-2536
SONOMA 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: LE, HENRY HOAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5625 Primary Status: Cancelled
Address :
4560 HARMONY PLACE
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATILANO HERNANDEZ, ANA NOEMI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40659 Primary Status: Current
Address :
2139 Waltzer Rd
SANTA ROSA CA 95403-1829
SONOMA COUNTY
