California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WILLIS, DENISE E

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 840 Primary Status: Current

Address :
212 Hannah Ln
COLFAX CA 95713-9774
PLACER COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SHAPP, JODY JEAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4579 Primary Status: Current

Address :
10535 Hospital Way
MATHER CA 95655-4200
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BUELL, RITA F

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6097 Primary Status: Cancelled

Address :
10478 AMBASSADOR DRIVE
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HAMILTON, SHARON ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6279 Primary Status: Cancelled

Address :
2981 LINDEN LANE #F
CARMICHAEL CA 95608
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HUYNH, DANIELLE MARIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6402 Primary Status: Cancelled

Address :
9329 QUESADA WAY
SACRAMENTO CA 95826
SACRAMENTO COUNTY

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