California State Board of Optometry
Licensing details for: 41738
Name: Mougeot, Michael D
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
14530 Byron Hwy Spc 57
BYRON CA 94514-1517
CONTRA COSTA 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 VISION CENTER #2697
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71359 Primary Status: Current
Address :
4893 Lone Tree Way
ANTIOCH CA 94531-8553
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: NATIONAL VISION EYECARE CENTER #2697
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6751 Primary Status: Cancelled
Address :
4893 LONE TREE WAY
ANTIOCH CA 94509
CONTRA COSTA COUNTY



