California State Board of Optometry
Licensing details for: 7649
Name: WAL-MART VISION CENTER #3352
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
10355 TRINITY PKWY
STOCKTON CA 95219
SAN JOAQUIN 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: ANGELES, MARIA E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1539 Primary Status: Delinquent
Address :
9993 Harvey Rd
GALT CA 95632-8864
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rizwan, Naima
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8672 Primary Status: Current
Address :
2169 Canyon Creek Dr
STOCKTON CA 95207-4548
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FOWLER, SHANNON MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2072 Primary Status: Current
Address :
19584 N Elm St
LOCKEFORD CA 95237-8802
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ORTIZ, SOKRAKSMIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8350 Primary Status: Current
Address :
9018 Cavendish Ct
STOCKTON CA 95209-1741
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHANDRA, SOBHANA SASHI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8419 Primary Status: Current
Address :
1989 Mighty Oak Dr.
STOCKTON CA 95205
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AGUILERA, MICHELLE MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1670 Primary Status: Current
Address :
1168 San Pedro Ave
CERES CA 95307-7334
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FOWLER, SHANNON MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6357 Primary Status: Current
Address :
19584 N Elm St
LOCKEFORD CA 95237-8802
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bekhtel, Daniel Rubin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42901 Primary Status: Current
Address :
4762 Saint Andrews Dr
STOCKTON CA 95219-1915
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROMERO, ANALISE LOVE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40505 Primary Status: Cancelled
Address :
3371 Dayton Herzog Ln
STOCKTON CA 95206-5729
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LANGSTON, MARISSA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6816 Primary Status: Current
Address :
3352 SCHOONER DRIVE
STOCKTON CA 95219
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ORTIZ, SERGIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6852 Primary Status: Cancelled
Address :
4492 STURGEON ROAD
STOCKTON CA 95219
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GERONIMO, MARTIN JOEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40921 Primary Status: Current
Address :
730 Erie Dr
STOCKTON CA 95210-2068
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANGELES, MARIA E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5410 Primary Status: Delinquent
Address :
9993 Harvey Rd
GALT CA 95632-8864
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ORTIZ, SOKRAKSMIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40654 Primary Status: Current
Address Not Disclosed
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHANDRA, SOBHANA SASHI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41037 Primary Status: Current
Address :
1989 Mighty Oak Dr
STOCKTON CA 95205-2592
SAN JOAQUIN COUNTY



