California State Board of Optometry
Licensing details for: 7684
Name: LENSCRAFTERS # 2944
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
330 PALLADIO PARKWAY SUITE 2023
FOLSOM CA 95630
SACRAMENTO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BURNS, SAMANTHA AILEEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40829 Primary Status: Cancelled
Address :
9715 Snowberry Way
ORANGEVALE CA 95662-5527
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SORENSEN, SHELBY ALEECE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41019 Primary Status: Delinquent
Address :
6244 Hazel Ave
Apt 64
ORANGEVALE CA 95662-4052
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Manalo, Eugene Thomas
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43358 Primary Status: Current
Address :
117 Camberwell Way
FOLSOM CA 95630
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DeWilde, Sara Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41703 Primary Status: Delinquent
Address :
8907 Salmon Falls Dr
Apt C
SACRAMENTO CA 95826-1971
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ELLINGSON, KIMBERLY LAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6117 Primary Status: Cancelled
Address :
3149 D St
SACRAMENTO CA 95816-3334
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARTINEZ, ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40384 Primary Status: Cancelled
Address :
3073 Ramsgate Way
RANCHO CORDOVA CA 95670-5342
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: King, Rick
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41395 Primary Status: Current
Address :
2501 Hayden Parkway
533
ROSEVILLE CA 95747
PLACER COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: ALTO, JOHN SUPNET
License/Registration Type: Optometrist
License Number: 9849 Primary Status: Current
Address :
956 Vallejo Way
SACRAMENTO CA 95818-2155
SACRAMENTO COUNTY



