California State Board of Optometry
Licensing details for: 7036
Name: WAL-MART # 1554
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
3223 E HAMMER LANE
STOCKTON CA 95212
SAN JOAQUIN 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: GROCE, SUSAN M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1229 Primary Status: Cancelled
Address :
3138 W SONOMA
STOCKTON CA 95204
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COMERIE II, LESLIE TEMPLETON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1545 Primary Status: Cancelled
Address :
5032 JETTY DRIVE
STOCKTON CA 95206
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PARAN, DENNIS NIPAY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2033 Primary Status: Current
Address :
10320 Graciosa Way
ELK GROVE CA 95757-3464
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MEADOWS, RENAE GRACE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1721 Primary Status: Delinquent
Address :
1269 CRESTWOOD AVENUE
MANTECA CA 95336
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARAN, DENNIS NIPAY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6158 Primary Status: Current
Address :
10320 Graciosa Way
ELK GROVE CA 95757-3464
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Flauta, Ningning
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41867 Primary Status: Current
Address :
2417 Pine Brook Dr
STOCKTON CA 95212-2715
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GROCE, SUSAN M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3593 Primary Status: Cancelled
Address :
3138 W. SONOMA
STOCKTON CA 95204
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: sonne, mary teresa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41603 Primary Status: Current
Address :
4954 Tiamo St
STOCKTON CA 95212
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COMERIE II, LESLIE TEMPLETON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5419 Primary Status: Cancelled
Address :
5032 JETTY DRIVE
STOCKTON CA 95206
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEADOWS, RENAE GRACE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5768 Primary Status: Current
Address :
55 Quasar Cir
SACRAMENTO CA 95822-4956
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: IVIE, STACY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5778 Primary Status: Current
Address :
423 Montebello Oaks Dr
PASO ROBLES CA 93446-7172
SAN LUIS OBISPO COUNTY
