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Licensing details for: 7136

Name: WAL-MART VISION CENTER #1983

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Current Primary Status Definition

Address of Record

3690 Mitchell Rd
CERES CA 95307-5022
STANISLAUS county
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Issuance Date

September 26, 2005

Expiration Date

September 30, 2027

Current Date / Time

November 5, 2025
8:54:5 AM

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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