California State Board of Optometry
Licensing details for: 6100
Name: COSTCO WHOLESALE CORP
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1601 Coleman Ave
SANTA CLARA CA 95050-3122
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: Favela, Alexa Anne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8298 Primary Status: Current
Address :
1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TERRADO, THOMAS JOHN PALMA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8184 Primary Status: Current
Address :
3200 Payne Ave Apt 29
SAN JOSE CA 95117-3519
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: De Peralta, Devin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9077 Primary Status: Current
Address :
194 Damsen Dr
SAN JOSE CA 95116-1939
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: De Alba, Teresea Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8828 Primary Status: Current
Address :
144 Knightshaven Way
SAN JOSE CA 95111-3714
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Favela, Alexa Anne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41103 Primary Status: Current
Address :
1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: De Peralta, Devin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43409 Primary Status: Current
Address :
194 Damsen Dr
SAN JOSE CA 95116-1939
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: De Alba, Teresea Michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42803 Primary Status: Current
Address :
144 Knightshaven Way
SAN JOSE CA 95111-3714
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TERRADO, THOMAS JOHN PALMA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40355 Primary Status: Current
Address :
3200 Payne Ave Apt 29
SAN JOSE CA 95117-3519
SANTA CLARA COUNTY



