California State Board of Optometry

Licensing details for: 5963

Name: COSTCO WHOLESALE CORP

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

3750 S MOONEY
VISALIA CA 93277
TULARE county
Map

Issuance Date

June 13, 1994

Expiration Date

June 30, 2008

Current Date / Time

November 6, 2025
3:43:38 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: THATCHER, ANDREA LYNN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3785 Primary Status: Current

Address :
2315 NO THOMAS CT
VISALIA CA 93292
TULARE COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SA, JONATHAN MANUEL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4642 Primary Status: Cancelled

Address :
3750 SO MOONEY BLVD
VISALIA CA 93277
TULARE COUNTY