California State Board of Optometry
Licensing details for: 5330
Name: SISK, GREGORY ALLEN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Previous Names: SISK, GREGORY A
Address of Record
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN 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: 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 VISION CENTER 1972
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7152 Primary Status: Current
Address :
2700 LAS POSITAS ROAD
LIVERMORE CA 94550
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 VISION CENTER #2025
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7143 Primary Status: Current
Address :
3010 W GRANT LINE ROAD
TRACY CA 95304
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WALMART VISION CENTER #1789
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70701 Primary Status: Current
Address :
1601 S Lower Sacramento Rd
LODI CA 95242-9571
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART # 1789
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7051 Primary Status: Cancelled
Address :
2350 W KETTLEMAN LANE
LODI CA 95242
SAN JOAQUIN COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SISK, GREGORY ALLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1502 Primary Status: Delinquent
Address :
1311 W Century Blvd Apt 65
LODI CA 95242-4529
SAN JOAQUIN COUNTY



