California State Board of Optometry
Licensing details for: 43649
Name: Long, Stacy Mr
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
5521 Lean Ave
SAN JOSE CA 95123-6119
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 # 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
