California State Board of Optometry
Licensing details for: 6989
Name: WAL-MART STORE # 1760
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1018 RILEY STREET
FOLSOM CA 95630
SACRAMENTO 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: GROSS, KIMBERLY COLLEEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1612 Primary Status: Current
Address :
27441 Hialeah Dr
STALLION SPRINGS CA 93561-5344
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WILBURN, RONDA MAXINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1860 Primary Status: Cancelled
Address :
4459 MANZANITA AVENUE #22
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HOLDEN, MICHELLE LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8415 Primary Status: Delinquent
Address :
7632 52nd Ave
SACRAMENTO CA 95828-2012
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Haynes, Stephen Carl
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8542 Primary Status: Delinquent
Address :
1005 Blue Ravine Rd
Apt 1313
FOLSOM CA 95630-3496
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AULD, LESLEY MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1499 Primary Status: Current
Address :
7861 Lialana Way
Apt C
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rusetskiy, Angel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8277 Primary Status: Delinquent
Address :
3804 Wrigley Cir
NORTH HIGHLANDS CA 95660-2739
SACRAMENTO 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 Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GROSS, KIMBERLY COLLEEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5424 Primary Status: Current
Address :
27441 Hialeah Dr
STALLION SPRINGS CA 93561-5344
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rusetskiy, Angel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41043 Primary Status: Delinquent
Address :
3804 Wrigley Cir
NORTH HIGHLANDS CA 95660-2739
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HOLDEN, MICHELLE LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40529 Primary Status: Delinquent
Address :
7632 52nd Ave
SACRAMENTO CA 95828-2012
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BELLO, YVONNE VIRGINIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6086 Primary Status: Cancelled
Address :
1065 WINDMILL DRIVE
DIXON CA 95620
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MADARANG, TERESITA IGNACIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5309 Primary Status: Current
Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILBURN, RONDA MAXINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5838 Primary Status: Cancelled
Address :
4459 MANZANITA AVENUE #22
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Haynes, Stephen Carl
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41252 Primary Status: Delinquent
Address :
1005 BLUE RAVINE RD APT 1313
FOLSOM CA 95630-3812
EL DORADO COUNTY
