California State Board of Optometry
Licensing details for: 6997
Name: WAL-MART STORE #1697
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
8465 ELK GROVE BLVD
ELK GROVE CA 95758
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: MADARANG, JESUS M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1396 Primary Status: Current
Address :
7653 Wayans Way
ELK GROVE CA 95757-1739
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MAHONEY JR, PATRICK NEVIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8186 Primary Status: Current
Address :
9022 Stinson Beach Way
ELK GROVE CA 95758-5151
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MADARANG, JESUS M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4582 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: MAHONEY JR, PATRICK NEVIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40736 Primary Status: Current
Address :
9022 Stinson Beach Way
ELK GROVE CA 95758-5151
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHAN, TITH V
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40841 Primary Status: Current
Address :
8140 Clanton Ct
SACRAMENTO CA 95828-4406
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUDINO, NORMA ANGELICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41108 Primary Status: Current
Address :
7630 Klotz Ranch CT
3301
SACRAMENTO CA 95831
SACRAMENTO COUNTY



