California State Board of Optometry
Licensing details for: 7152
Name: WAL-MART VISION CENTER 1972
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2700 LAS POSITAS ROAD
LIVERMORE CA 94550
ALAMEDA 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: 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: RAM, KANHA ELIZABETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8238 Primary Status: Delinquent
Address Not Disclosed
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WILSON, CHRISTINE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2133 Primary Status: Cancelled
Address :
PO Box 1151
REDWOOD CITY CA 94064-1151
SAN MATEO COUNTY
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: ORTIZ, EUN YOUNG
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1590 Primary Status: Cancelled
Address :
5501 DEMARCUS BLVD #306
DUBLIN CA 94568
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DANIAL, EFFAT SAMI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2296 Primary Status: Delinquent
Address :
18023 Center St
CASTRO VALLEY CA 94546-1601
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILSON, CHRISTINE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6439 Primary Status: Cancelled
Address :
PO BOX 1151
REDWOOD CITY CA 94064
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RAM, KANHA ELIZABETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40624 Primary Status: Delinquent
Address Not Disclosed
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DANIAL, EFFAT SAMI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6635 Primary Status: Current
Address :
4130 Quail Run Dr
DANVILLE CA 94506-5843
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROSS, CYNTHIA PERRY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40078 Primary Status: Cancelled
Address :
27097 Silver Dr
PIONEER CA 95666-9608
AMADOR 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: 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: ORTIZ, EUN YOUNG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5413 Primary Status: Cancelled
Address :
7303 PARKWOOD CIR UNIT H
DUBLIN CA 94568
ALAMEDA COUNTY



