California State Board of Optometry
Licensing details for: 71359
Name: WAL-MART VISION CENTER #2697
Doing Business As: Wal-Mart Inc.
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: Wal-Mart Vision Center #2697
Address of Record
4893 Lone Tree Way
ANTIOCH CA 94531-8553
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FOWLER, SHANNON MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2072 Primary Status: Current
Address :
19584 N Elm St
LOCKEFORD CA 95237-8802
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mougeot, Michael D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41738 Primary Status: Current
Address :
14530 Byron Hwy Spc 57
BYRON CA 94514-1517
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Canales Saucedo, Alma Delia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43372 Primary Status: Current
Address :
248 Highway Ave
BAY POINT CA 94565-1722
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Diaz, Daniela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43669 Primary Status: Current
Address :
5155 Brookfield Ct
ANTIOCH CA 94531-8151
