California State Board of Optometry
Licensing details for: 7016
Name: WAL-MART STORE # 5435
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
777 STORY RD
SAN JOSE CA 95122
SANTA CLARA 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: NEJATI, AZADEH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2166 Primary Status: Cancelled
Address :
4566 FELLOWS ST
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SHETH, RAJNI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2314 Primary Status: Cancelled
Address :
3240 NEAL TERRACE
FREMONT CA 94538
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHERY, ROBERT KELLY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8748 Primary Status: Current
Address :
101 Redding Rd Apt B5
CAMPBELL CA 95008-6730
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGUY, JEANNY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1876 Primary Status: Cancelled
Address :
16 KENBROOK CIRCLE
SAN JOSE CA 95111
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DANIAL, EFFAT SAMI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2296 Primary Status: Delinquent
Address :
18023 Center St
CASTRO VALLEY CA 94546-1601
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NEJATI, AZADEH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6450 Primary Status: Cancelled
Address :
4566 FELLOWS STREET
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Valenzuela, Kate Dela Luna
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41829 Primary Status: Current
Address :
3625 Mountaire Dr
ANTIOCH CA 94509-5667
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHERY, ROBERT KELLY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42601 Primary Status: Current
Address :
101 Redding Rd Apt B5
CAMPBELL CA 95008-6730
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGUY, JEANNY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6032 Primary Status: Cancelled
Address :
16 KENBROOK CIRCLE
SAN JOSE CA 95111
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Castaneda Celiz, Ma Gregoria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43637 Primary Status: Current
Address :
2070 Lucretia Ave Apt 311
SAN JOSE CA 95122-3389
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHETH, RAJNI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6855 Primary Status: Cancelled
Address :
3240 NEAL TERRACE
FREMONT CA 94538
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Long, Stacy Mr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43649 Primary Status: Current
Address :
5521 Lean Ave
SAN JOSE CA 95123-6119



