California State Board of Optometry
Licensing details for: 7136
Name: WAL-MART VISION CENTER #1983
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3690 Mitchell Rd
CERES CA 95307-5022
STANISLAUS 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: SODA, DOROTHY MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1720 Primary Status: Current
Address :
4201 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COMERIE II, LESLIE TEMPLETON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1545 Primary Status: Cancelled
Address :
5032 JETTY DRIVE
STOCKTON CA 95206
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LEONARDES, DEBORAH COSTA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1587 Primary Status: Current
Address :
PO Box 366
HILMAR CA 95324-0366
MERCED COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MATHENY, JUSTIN BRYAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1432 Primary Status: Cancelled
Address :
P O BOX 473
SOULSBYVILLE CA 95372
TUOLUMNE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COMERIE II, LESLIE TEMPLETON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5419 Primary Status: Cancelled
Address :
5032 JETTY DRIVE
STOCKTON CA 95206
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SODA, DOROTHY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5639 Primary Status: Current
Address :
4201 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HANDOSH, MONICA SOFIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40464 Primary Status: Current
Address :
1360 Shady Ln Apt 512
TURLOCK CA 95382-7408
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YEPEZ, SILVIA ALEJANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40465 Primary Status: Current
Address :
1909 Aarvig Ln
CERES CA 95307-4805
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIVIS, KIMBERLY MIKAYLA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40482 Primary Status: Delinquent
Address :
3207 Farris Ave
CERES CA 95307-3505
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ZIGLER, LINDA BERNICE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3514 Primary Status: Cancelled
Address :
850 NORTH CENTER APT 4-A
ONTARIO CA 91764
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESPINOLA, PATRICIA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40738 Primary Status: Current
Address :
1617 Heath Way
CERES CA 95307-6624
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEONARDES, DEBORAH COSTA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5641 Primary Status: Current
Address :
PO Box 366
HILMAR CA 95324-0366
MERCED COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUILERA, MICHELLE MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5892 Primary Status: Current
Address :
1168 San Pedro Ave
CERES CA 95307-7334
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATHENY, JUSTIN BRYAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5192 Primary Status: Cancelled
Address :
16995 COLUMBIA RIVER
SONORA CA 95370
TUOLUMNE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCHULSINGER, JEFFREY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1587 Primary Status: Cancelled
Address :
337 N VISTA
LOS ANGELES CA 90036
LOS ANGELES COUNTY



