California State Board of Optometry
Licensing details for: 5962
Name: COSTCO WHOLESALE CORP
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2201 SENTER RD
SAN JOSE CA 95112
SANTA CLARA county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DEMARIA, MYRA SERNA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1618 Primary Status: Current
Address :
2201 SENTER RD
SAN JOSE CA 95112
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Nguyen, Tiffany T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8732 Primary Status: Current
Address :
1685 Ruther Place Ct
SAN JOSE CA 95121-1942
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TRUONG, PHUONG LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8610 Primary Status: Current
Address :
2714 Kendrick Cir
SAN JOSE CA 95121
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DAVIS, DOUGLAS RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8017 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGUYEN, THANH YEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1846 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Koo, Derek
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9264 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Perez, Noe
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8671 Primary Status: Current
Address :
4599 Bolero Dr
SAN JOSE CA 95111-2506
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRUONG, PHUONG LISA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4845 Primary Status: Current
Address :
2714 KENDRICK CIRCLE
SAN JOSE CA 95121
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGUYEN, THANH YEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5218 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Koo, Derek
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43694 Primary Status: Current
Address :
2201 Senter Rd
Optical Department
SAN JOSE CA 95112-2627
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DEMARIA, MYRA SERNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4233 Primary Status: Current
Address :
2201 SENTER RD
SAN JOSE CA 95112
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nguyen, Tiffany T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41956 Primary Status: Current
Address :
1685 Ruther Place Ct
SAN JOSE CA 95121-1942
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAVIS, DOUGLAS RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40167 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, NOE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42600 Primary Status: Current
Address :
854 N 14th St
SAN JOSE CA 95112-1517
SANTA CLARA COUNTY



