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 Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Wiggins, MISTI DAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1319 Primary Status: Delinquent
Address :
9270 SINNARD AVE
LIVE OAK CA 95953
SUTTER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DIETRICH, LAURA KAY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1523 Primary Status: Cancelled
Address :
4325 KATHY LANE
CHICO CA 95973
BUTTE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: THAO, IA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2017 Primary Status: Cancelled
Address :
1060 SISKIYOU AVENUE
OROVILLE CA 95965
BUTTE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WOOD, MARY MONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2018 Primary Status: Cancelled
Address :
3549 Esplanade Spc 247
CHICO CA 95973-0248
BUTTE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHARLESWORTH, DEBORA ANNETTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1593 Primary Status: Current
Address :
2024 FIR ST
LIVE OAK CA 95953
SUTTER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RIVERA, ERICA NOEMI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2270 Primary Status: Delinquent
Address :
9653 richmond way
LIVE OAK CA 95953-2456
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEIFER, ROBERT E JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5655 Primary Status: Cancelled
Address :
82 Sugar Pine Dr
BERRY CREEK CA 95916-9737
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Wiggins, MISTI DAWN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4995 Primary Status: Current
Address :
9270 Sinnard Ave
LIVE OAK CA 95953-9645
SUTTER 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
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bruno, Joseph Johnny
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41392 Primary Status: Delinquent
Address :
1930 W College Ave
APT 10
SAN BERNARDINO CA 92407-3305
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RIVERA, ERICA NOEMI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40221 Primary Status: Delinquent
Address :
9653 richmond way
LIVE OAK CA 95953-2456
SUTTER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: McDaniel, Sommer
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42045 Primary Status: Delinquent
Address :
4689 Mustang Pkwy
7104
CARROLLTON TX 75010
DENTON COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WOOD, MARY MONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40419 Primary Status: Cancelled
Address :
956 C Kovak Ct
CHICO CA 95973
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIETRICH, LAURA KAY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4906 Primary Status: Cancelled
Address :
4325 KATHY LANE
CHICO CA 95973
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Padgett, Angela Patricia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43074 Primary Status: Current
Address :
2044 Forest Ave
CHICO CA 95928-7619
BUTTE COUNTY



