California State Board of Optometry
Licensing details for: 7143
Name: WAL MART VISION CENTER #2025
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3010 W GRANT LINE ROAD
TRACY CA 95304
SAN JOAQUIN 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: SISK, GREGORY ALLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1502 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HENSEL, FREDERICK WILLIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1538 Primary Status: Cancelled
Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCATEE, DEBORAH S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1921 Primary Status: Cancelled
Address :
95 E 6th St
TRACY CA 95376-4138
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WINKLEBLECH, BRENDA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1536 Primary Status: Cancelled
Address :
1136 Muir Ct
MANTECA CA 95337-5225
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WINKLEBLECH, BRENDA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5383 Primary Status: Cancelled
Address :
1136 Muir Ct
MANTECA CA 95337-5225
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SISK, GREGORY ALLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5330 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FARRIS, VICTORIA F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40574 Primary Status: Cancelled
Address :
333 W Magnolia St
STOCKTON CA 95203-2539
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HENSEL, FREDERICK WILLIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5408 Primary Status: Cancelled
Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCATEE, DEBORAH S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40487 Primary Status: Cancelled
Address :
95 E 6th St
TRACY CA 95376-4138
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: hoang, nolebelle catibog
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42748 Primary Status: Current
Address :
2447 Veneto Ln
TRACY CA 95377-8694
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VERMA, YASHISHNI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5594 Primary Status: Cancelled
Address :
WALMART VISION CENTER
1400 HILTOP MALL RD LEVEL
RICHMOND CA 94806
CONTRA COSTA COUNTY



