California State Board of Optometry
Licensing details for: 5408
Name: HENSEL, FREDERICK WILLIAM
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
140 MANZANITA LANE
TRACY CA 95376
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: 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: 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 # 1840
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7037 Primary Status: Cancelled
Address :
1205 S MAIN ST
MANTECA CA 95337
SAN JOAQUIN COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: HENSEL, FREDERICK WILLIAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1538 Primary Status: Cancelled
Address :
140 MANZANITA LANE
TRACY CA 95376
SAN JOAQUIN COUNTY



