California State Board of Optometry
Licensing details for: 70837
Name: TARGET OPTICAL #4789
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
430 Blue Ravine Rd
FOLSOM CA 95630-3402
SACRAMENTO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Holt, Elizabeth
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43261 Primary Status: Current
Address :
146 Price Way
FOLSOM CA 95630
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MERRIMAN, ASHLEY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40874 Primary Status: Delinquent
Address :
1710 V St Apt 14
SACRAMENTO CA 95818-1639
SACRAMENTO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: BALDWIN, SUSAN MARY
License/Registration Type: Optometrist
License Number: 11460 Primary Status: Current
Address :
430 Blue Ravine Rd
FOLSOM CA 95630-3402
SACRAMENTO COUNTY



