California State Board of Optometry
Licensing details for: 7064
Name: SAM'S CLUB VISION CENTER # 4819
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5625 GOSFORD RD.
BAKERSFIELD CA 93313
KERN 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: GIRGIS, REMON WADIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1599 Primary Status: Current
Address :
5331 Vista Del Mar Ave
BAKERSFIELD CA 93311-9036
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MATSUMOTO, RANDALL KEITH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1376 Primary Status: Current
Address :
26142 Williams Way
B
MURRIETA CA 92563-7377
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HALL, THERESA JOAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2028 Primary Status: Cancelled
Address :
11511 REVOLUTION
BAKERSFIELD CA 93312
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MERCIER, JENNIFER DARLENE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8284 Primary Status: Current
Address :
6112 commonwealth ave
BAKERSFIELD CA 93313
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: METRY, JOSEPH HALEM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7988 Primary Status: Current
Address :
109 Orchard Park Pl
HAYWARD CA 94544-1242
ALAMEDA 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 Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ISLAM, KAMRUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1999 Primary Status: Cancelled
Address :
253 TRASK STREET
BAKERSFIELD CA 93314
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FIELDER, LOYS DEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5477 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: MERCIER, JENNIFER DARLENE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40514 Primary Status: Current
Address :
6112 commonwealth ave
BAKERSFIELD CA 93313
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HALL, THERESA JOAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6140 Primary Status: Cancelled
Address :
11511 REVOLUTION
BAKERSFIELD CA 93312
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ISLAM, KAMRUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6077 Primary Status: Cancelled
Address :
253 TRASK STREET
BAKERSFIELD CA 93314
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mejia, LINITA JUNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41869 Primary Status: Current
Address :
9712 San Ysidro Ln
BAKERSFIELD CA 93312-5921
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATSUMOTO, RANDALL KEITH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5064 Primary Status: Current
Address :
26142 Williams Way
B
MURRIETA CA 92563
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GIRGIS, REMON WADIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5314 Primary Status: Current
Address :
5331 VISTA DEL MAR AVE
BAKERSFIELD CA 93311
KERN COUNTY
