California State Board of Optometry
Licensing details for: 4995
Name: Wiggins, MISTI DAWN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Previous Names: WALTERS, MISTI DAWN
Address of Record
9270 Sinnard Ave
LIVE OAK CA 95953-9645
SUTTER 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 # 1881
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7071 Primary Status: Cancelled
Address :
7901 WATT AVE
ANTELOPE CA 95843
SACRAMENTO COUNTY
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 #1881
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5714 Primary Status: Cancelled
Address :
7901 WATT AVE
ANTELOPE CA 95843
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Wiggins, MISTI DAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1319 Primary Status: Delinquent
Address :
9270 SINNARD AVE
LIVE OAK CA 95953
SUTTER COUNTY
