California State Board of Optometry
Licensing details for: 5859
Name: AKIN, PHYLLIS JEAN
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Previous Names: AKIN, PHYLLIS J
Address of Record
10155 PEPPERMINT CIRCLE, SPACE 11
JAMESTOWN CA 95327
TUOLUMNE 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 2030
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7160 Primary Status: Current
Address :
1101 SANGUINETTI ROAD
SONORA CA 95370
TUOLUMNE COUNTY



