California State Board of Optometry
Licensing details for: 43268
Name: Bravo Vazquez, Maria Ariadne
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
1767 Pine Hollow Cir
SAN JOSE CA 95133-1733
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WALMART VISION CENTER 5426
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7215 Primary Status: Cancelled
Address :
40580 ALBRAE ST
FREMONT CA 94538-2448
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART STORE # 5435
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7016 Primary Status: Current
Address :
777 STORY RD
SAN JOSE CA 95122
SANTA CLARA COUNTY



