California State Board of Optometry
Licensing details for: 7071
Name: WAL-MART VISION CENTER # 1881
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
7901 WATT AVE
ANTELOPE CA 95843
SACRAMENTO 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: HOUSE, TERI R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1801 Primary Status: Cancelled
Address :
4641 MEDINA WAY
NORTH HIGHLANDS CA 95660
SACRAMENTO COUNTY
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 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: HOUSE, TERI R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5260 Primary Status: Cancelled
Address :
4641 MEDINA WAY
NORTH HIGHLANDS CA 95660
SACRAMENTO COUNTY



