California State Board of Optometry
Licensing details for: 2929
Name: JACKSON, ROBERT PAUL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Previous Names: JACKSON, ROBERT P
Address of Record
PO Box 1323
FLOWERY BRANCH GA 30542-0023
HALL county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART STORE #3477
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6885 Primary Status: Current
Address :
7250 CARSON BLVD
LONG BEACH CA 90808
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART VISION CENTER 2032
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7159 Primary Status: Current
Address :
2001 N ROSE AVE
OXNARD CA 93030
VENTURA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: JACKSON, ROBERT PAUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1617 Primary Status: Cancelled
Address :
PO Box 1323
FLOWERY BRANCH GA 30542-0023
HALL COUNTY



