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: PHAM, ANH DINH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1796 Primary Status: Current
Address :
12172 Hetch Hechy Dr
RANCHO CORDOVA CA 95742-8235
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 Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RAJORIA, MINAKSHI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2000 Primary Status: Current
Address :
8316 SILVERMOON WAY
SACRAMENTO CA 95829
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DOMINGUES, ANGELITA VILLANUEVA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40634 Primary Status: Cancelled
Address :
181 Stone Creek Cir
SAINT JOHNS FL 32259-9106
ST. JOHNS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RAJORIA, MINAKSHI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6079 Primary Status: Current
Address :
8316 Silver Moon Way
SACRAMENTO CA 95829-9530
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: 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: PHAM, ANH DINH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6660 Primary Status: Current
Address :
12172 Hetch Hechy Dr
RANCHO CORDOVA CA 95742-8235
SACRAMENTO COUNTY



