California State Board of Optometry
Licensing details for: 7192
Name: WALMART VISION CENTER 2044
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2044 FOREST AVE
CHICO CA 95928
BUTTE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Jackson, Kelly Wayne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42495 Primary Status: Current
Address :
2044 Forest Ave
CHICO CA 95928-7619
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Denning, Madison Grace
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42478 Primary Status: Current
Address :
2044 Forest Ave
CHICO CA 95928-7619
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vandegriff, Drake Lee
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43537 Primary Status: Current
Address :
2044 Forest Ave
CHICO CA 95928-7619



