California State Board of Optometry

Licensing details for: 7016

Name: WAL-MART STORE # 5435

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

777 STORY RD
SAN JOSE CA 95122
SANTA CLARA county
Map

Issuance Date

September 22, 2004

Expiration Date

September 30, 2026

Current Date / Time

April 8, 2026
2:27:51 AM

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

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Bravo Vazquez, Maria Ariadne

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43268 Primary Status: Current

Address :
1767 Pine Hollow Cir
SAN JOSE CA 95133-1733

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