California State Board of Optometry
Licensing details for: 7052
Name: WAL-MART VISION CENTER # 5162
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
27931 KELLY JOHNSON PARKWAY
SANTA CLARITA CA 91355
LOS ANGELES 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: BRINK, ERIC ALAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1498 Primary Status: Cancelled
Address :
8510 E 29TH ST N UNIT 218
WICHITA KS 67226
SEDGWICK COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tobias, Brisa C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8916 Primary Status: Delinquent
Address :
250 E Telegraph Rd
Space 74
FILLMORE CA 93015-2171
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NORTHCOTT, DOROTHY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2236 Primary Status: Current
Address :
26921 TERRI DRIVE
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Meacham, Donna Frances
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41063 Primary Status: Current
Address :
27931 Kelly Johnson Pkwy
SANTA CLARITA CA 91355-5083
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BRINK, ERIC ALAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5316 Primary Status: Cancelled
Address :
8510 E 29TH ST N UNIT 218
WICHITA KS 67226
SEDGWICK COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NORTHCOTT, DOROTHY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6888 Primary Status: Current
Address :
26921 TERRI DRIVE
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tobias, Brisa C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41990 Primary Status: Current
Address :
250 E Telegraph Road
Space 74
FILLMORE CA 93015
VENTURA COUNTY
