California State Board of Optometry
Licensing details for: 7039
Name: WAL-MART # 1583
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1977 W Cleveland Ave
MADERA CA 93637-8705
MADERA 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: HERNANDEZ, ELIZABETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7999 Primary Status: Current
Address :
1977 W CLEVELAND AVE
MADERA CA 93637
MADERA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARLTON, TANIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2083 Primary Status: Delinquent
Address :
23637 Uvas Ave
MADERA CA 93637-9636
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAGER, PAULA L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5335 Primary Status: Current
Address :
16936 ANACONDA ROAD
MADERA CA 93636
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARLTON, TANIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40422 Primary Status: Delinquent
Address :
23637 Uvas Ave
MADERA CA 93637-9636
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, ELIZABETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40497 Primary Status: Current
Address :
1977 W Cleveland Ave
MADERA CA 93637-8705
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CRUZ, ANA MIREIDA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40676 Primary Status: Current
Address :
525 S Madera Ave
Apt 108
MADERA CA 93637-5548
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, MARTHA H.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5238 Primary Status: Delinquent
Address :
2820 MONOCOTT DRIVE
MADERA CA 93637
MADERA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOLDING, SETH ASHTON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5112 Primary Status: Cancelled
Address :
2569 E HOUSTON AVE
FRESNO CA 93720
FRESNO COUNTY



