California State Board of Optometry
Licensing details for: 7070
Name: WAL-MART VISION CENTER # 1903
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1150 HARTER RD
YUBA CITY CA 95993
SUTTER 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: Wiggins, MISTI DAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1319 Primary Status: Delinquent
Address :
9270 SINNARD AVE
LIVE OAK CA 95953
SUTTER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NIX, JENNA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2021 Primary Status: Cancelled
Address :
PO BOX 1730
MARYSVILLE CA 95901
YUBA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CLOTY, SANTOSH K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1508 Primary Status: Current
Address :
7620 BELLE ROSE CIR
ROSEVILLE CA 95678
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MILLER, TOMMIE LYNNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1589 Primary Status: Current
Address :
2617 Pepper St
SUTTER CA 95982-2232
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Wiggins, MISTI DAWN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4995 Primary Status: Current
Address :
9270 Sinnard Ave
LIVE OAK CA 95953-9645
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIERRAS, CHERL LOUREE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40524 Primary Status: Delinquent
Address :
1212 DeTurk Ave
SANTA ROSA CA 95404-5805
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CLOTY, SANTOSH K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4293 Primary Status: Current
Address :
7620 BELLE ROSE CIRCLE
ROSEVILLE CA 95678
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANTIAGO, VANESSA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40479 Primary Status: Cancelled
Address :
3130 Lawrence rd
Vision Center
WICHITA FALLS TX 76308
WICHITA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Perez, Rosario L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43276 Primary Status: Current
Address :
521 Lincoln St
521 Lincoln Street
GRIDLEY CA 95948-2518
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILLER, TOMMIE LYNNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5661 Primary Status: Current
Address :
2617 PEPPER ST
SUTTER CA 95982
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Meredith, Lisa Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41696 Primary Status: Current
Address :
1099 Northridge Dr
YUBA CITY CA 95991-1297
SUTTER COUNTY



