California State Board of Optometry

Licensing details for: 70743

Name: SHASTA LAKE OPTICAL

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Previous Names: SHASTA LOCK OPTICAL

Address of Record

4626 Shasta Dam Blvd
SHASTA LAKE CA 96019
SHASTA county
Map

Issuance Date

January 9, 2017

Expiration Date

January 31, 2027

Current Date / Time

December 1, 2025
5:41:13 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WALDROP, DENISE LEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5482 Primary Status: Current

Address :
13777 Peace Valley Ln
REDDING CA 96003-7086
SHASTA COUNTY