California State Board of Optometry

Licensing details for: 2750

Name: BALLARD, ROBERT D

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

6255 HAPPY PINES ROAD
FORESTHILL CA 95631
PLACER county
Map

Issuance Date

October 1, 1991

Expiration Date

November 30, 2014

Current Date / Time

April 3, 2026
10:23:34 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #658

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6869 Primary Status: Current

Address :
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN COUNTY