California State Board of Optometry
Licensing details for: 70567
Name: WAL-MART OPTICAL 4202
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
1400 Lead Hill Blv
ROCKLIN CA 95677
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: CARRERO, WINDY MICHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2058 Primary Status: Cancelled
Address :
1230 WHITNEY RANCH PKWY # 436
ROCKLIN CA 95765
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBERTS, WILLIAM THOMAS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1458 Primary Status: Current
Address :
6718 Le Mans Ave
CITRUS HEIGHTS CA 95621-5410
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALLEN, MADELYN JEWEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1112 Primary Status: Cancelled
Address :
8324 Villaview Dr
CITRUS HEIGHTS CA 95621-0135
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALLEN, MADELYN JEWEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3554 Primary Status: Cancelled
Address :
8324 Villaview Dr
CITRUS HEIGHTS CA 95621-0135
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBERTS, WILLIAM THOMAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5246 Primary Status: Current
Address :
6718 Le Mans Ave
CITRUS HEIGHTS CA 95621-5410
SACRAMENTO COUNTY



