California State Board of Optometry
Licensing details for: 7033
Name: SAM'S CLUB # 6621
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
904 PLEASANT GROVE BLVD.
ROSEVILLE CA 95678
PLACER 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: McNamara, Marcia Alice
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8577 Primary Status: Current
Address :
904 Pleasant Grove Blvd
ROSEVILLE CA 95678-6126
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DUKE, KRISTINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1610 Primary Status: Cancelled
Address :
5500 FOOTHILL GARDEN COURT #40
SACRAMENTO CA 95660
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SNIDER, LINDA JOANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1487 Primary Status: Cancelled
Address :
230 GEARY CT
LINCOLN CA 95648
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CRIDDLE, GARY JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1347 Primary Status: Cancelled
Address :
2123 AHERN STREET
MARYSVILLE CA 95901
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HARRIS, TERRY WILLIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2303 Primary Status: Cancelled
Address :
3034 WILDERNESS DRIVE SE
OLYMPIA WA 98501
THURSTON COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COOMES, DEBRA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8100 Primary Status: Current
Address :
34 Patricia Way
ROSEVILLE CA 95678-7013
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MICHEL, CHRISTAL ROSE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8063 Primary Status: Current
Address :
1835 Larkflower Way
LINCOLN CA 95648-3005
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FIELDER, LOYS DEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1492 Primary Status: Cancelled
Address :
429 carnelia trail #595
FRAZIER PARK CA 93225
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SNIDER, LINDA JOANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5351 Primary Status: Cancelled
Address :
230 GEARY CT
LINCOLN CA 95648
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WEATHERFORD-SMITH, CHERI L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5422 Primary Status: Cancelled
Address :
326 UNION ST
ROSEVILLE CA 95678
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MELNYCHUK, ZHANNA LEONTIIVNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5800 Primary Status: Current
Address :
7141 Minoress Way
SACRAMENTO CA 95842-1729
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DUKE, KRISTINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5495 Primary Status: Cancelled
Address :
5500 FOOTHILL GARDEN COURT #40
SACRAMENTO CA 95660
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CRIDDLE, GARY JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4910 Primary Status: Cancelled
Address :
2123 AHERN STREET
MARYSVILLE CA 95901
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COOMES, DEBRA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40347 Primary Status: Current
Address :
34 Patricia Way
ROSEVILLE CA 95678-7013
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LLENA, JEFFREY DANIEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40835 Primary Status: Delinquent
Address :
131 Orcutt Cir
SACRAMENTO CA 95834-2618
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MICHEL, CHRISTAL ROSE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40179 Primary Status: Current
Address :
1835 Larkflower Way
LINCOLN CA 95648-3005
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VALENTINE, CHRISTINA LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4644 Primary Status: Cancelled
Address :
6234 HAPPY WAY
MARYSVILLE CA 95901
YUBA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: McNamara, Marcia Alice
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41980 Primary Status: Current
Address :
904 Pleasant Grove Blvd
ROSEVILLE CA 95678-6126
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, TERRY WILLIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6822 Primary Status: Cancelled
Address :
3034 WILDERNESS DRIVE SE
OLYMPIA WA 98501
THURSTON COUNTY



