California State Board of Optometry
Licensing details for: 7225
Name: WAL-MART VISION CENTER #2099
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
180 NIBLICK ROAD
PASO ROBLES CA 92446
SAN LUIS OBISPO 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: PEREZ, SAVANNAH DENISE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1991 Primary Status: Cancelled
Address :
135 PACIFIC AVENUE
PASO ROBLES CA 93446
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ, ANTHONY CAMARILLO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1437 Primary Status: Current
Address :
5009 W Dartmouth Ave
VISALIA CA 93277-3476
TULARE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: IVIE, STACY LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1676 Primary Status: Current
Address :
1220 Bennett Way Spc 94
TEMPLETON CA 93465-3622
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PINEDA, ANA MARCELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1756 Primary Status: Current
Address :
PO Box 4074
PASO ROBLES CA 93447-4074
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: IVIE, COURTNEY NOELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40195 Primary Status: Current
Address :
180 Niblick Rd
PASO ROBLES CA 93446-4842
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAMAYO, MARISELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40824 Primary Status: Current
Address :
PO Box 3876
PASO ROBLES CA 93447-3876
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANGEL, LUIS PAULINO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40749 Primary Status: Current
Address :
245 San Augustin Dr
PASO ROBLES CA 93446-3507
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, ANTHONY CAMARILLO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5179 Primary Status: Current
Address :
5009 W DARTMOUTH AVE
VISALIA CA 93277
TULARE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Smith, Jacob David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41891 Primary Status: Delinquent
Address :
582 River Oaks Dr
PASO ROBLES CA 93446-7124
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PINEDA, ANA MARCELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5551 Primary Status: Current
Address :
1941 L ST
SAN MIGUEL CA 93451
SAN LUIS OBISPO COUNTY
