California State Board of Optometry
Licensing details for: 7198
Name: WALMART VISION CENTER 5192
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5821 Antelope Rd
SACRAMENTO CA 95842-3902
SACRAMENTO 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: Paez, Angelita Kylissa
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9322 Primary Status: Current
Address :
5821 Antelope Rd
SACRAMENTO CA 95842-3902
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SALVA, TAISIYA A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8123 Primary Status: Cancelled
Address :
4240 Clay Creek Way
SACRAMENTO CA 95838-2774
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARCIA, MIGUEL ANGEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8097 Primary Status: Cancelled
Address :
4400 Shandwick Dr Apt 259
ANTELOPE CA 95843-5731
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORKER, ANITA GAYLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1431 Primary Status: Cancelled
Address :
5724 El Campo Way
NORTH HIGHLANDS CA 95660-4812
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARRERO, WINDY MICHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2058 Primary Status: Cancelled
Address :
1230 WHITNEY RANCH PKWY # 436
ROCKLIN CA 95765
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBERTS, WILLIAM THOMAS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1458 Primary Status: Current
Address :
6718 Le Mans Ave
CITRUS HEIGHTS CA 95621-5410
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HER, MAI YER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8261 Primary Status: Current
Address :
7299 Fawnbar Way
SACRAMENTO CA 95828-8004
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, MIGUEL ANGEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40424 Primary Status: Cancelled
Address :
9059 Redwater Dr
ANTELOPE CA 95843-5448
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUDINO, NORMA ANGELICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41108 Primary Status: Current
Address :
7630 Klotz Ranch CT
3301
SACRAMENTO CA 95831
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HER, MAI YER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40411 Primary Status: Current
Address :
7299 Fawnbar Way
SACRAMENTO CA 95828-8004
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Calderon, Violet R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43300 Primary Status: Current
Address :
1451 Rocky Ridge dr
3601
ROSEVILLE CA 95661
PLACER 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: HILL, ANNIE THEOLA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40493 Primary Status: Current
Address :
12633 Fair Oaks Blvd Apt 257
CITRUS HEIGHTS CA 95610-5972
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Paez, Angelita Kylissa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43601 Primary Status: Current
Address :
5821 Antelope Rd
SACRAMENTO CA 95842-3902
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, SETH PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40522 Primary Status: Current
Address :
9200 Norseman Ct
SACRAMENTO CA 95829-1567
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CORKER, ANITA GAYLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5193 Primary Status: Cancelled
Address :
6233 Welty Way
SACRAMENTO CA 95824-3831
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBERTS, WILLIAM THOMAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5246 Primary Status: Current
Address :
6718 Le Mans Ave
CITRUS HEIGHTS CA 95621-5410
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Epting, Mercedes
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43648 Primary Status: Current
Address :
7938 Cheyenne Ct
ANTELOPE CA 95843-2008
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AULD, LESLEY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5016 Primary Status: Current
Address :
7861 Lialana Way
Apt C
CITRUS HEIGHTS CA 95610-5137
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Adams, Jacob Skyler
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41082 Primary Status: Denied 150 Day Temporary License
Address :
6316 Mariposa Ave
23
CITRUS HEIGHTS CA 95610-6656
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARRERO, WINDY MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6234 Primary Status: Cancelled
Address :
1230 WHITNEY RANCH PKWY # 436
ROCKLIN CA 95765
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SALVA, TAISIYA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40512 Primary Status: Cancelled
Address :
4240 Clay Creek Way
SACRAMENTO CA 95838-2774
SACRAMENTO COUNTY
