California State Board of Optometry
Licensing details for: 6120
Name: COSTCO WHOLESALE #29
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE CORPATION
Address of Record
6750 STANFORD RANCH RD
ROSEVILLE CA 95678
PLACER 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: Franco, Adan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9201 Primary Status: Current
Address :
1726 Laehr Dr
LINCOLN CA 95648-2141
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Munoz, Magali
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9211 Primary Status: Current
Address :
5520 Cabrillo Way
ROCKLIN CA 95765-5145
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Panelo, Diego H
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9146 Primary Status: Current
Address :
7473 Holworthy Way
257
SACRAMENTO CA 95842-4142
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aguilera, Mikayla
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9215 Primary Status: Current
Address :
4030 Richardson Dr
AUBURN CA 95602-8456
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gilliard, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8539 Primary Status: Current
Address :
6833 Anchor Cir
FAIR OAKS CA 95628-3222
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Watts, Tamir
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9225 Primary Status: Current
Address :
2700 N Hayden Pkwy
Apt 11102
ROSEVILLE CA 95747-7678
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chahin, Alexander Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8663 Primary Status: Current
Address :
2208 Brave Hawk Loop
ROSEVILLE CA 95747-4360
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Awabdy, Mesho
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9288 Primary Status: Current
Address :
6750 Stanford Ranch Rd
ROSEVILLE CA 95678-1907
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gilliard, Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41809 Primary Status: Current
Address :
6833 Anchor Cir
FAIR OAKS CA 95628-3222
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Munoz, Magali
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43666 Primary Status: Current
Address :
615 24th St Apt 3
SACRAMENTO CA 95816-3648
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Watts, Tamir
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43683 Primary Status: Current
Address :
2700 N Hayden Pkwy Apt 11102
ROSEVILLE CA 95747-7731
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Awabdy, Mesho
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43808 Primary Status: Current
Address :
6750 Stanford Ranch Rd
ROSEVILLE CA 95678-1907
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chahin, Alexander Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42005 Primary Status: Current
Address :
5703 Pearl Dr
ROCKLIN CA 95677-4744
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aguilera, Mikayla
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43633 Primary Status: Current
Address :
4030 Richardson Dr
AUBURN CA 95602-8456
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Franco, Adan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43647 Primary Status: Current
Address :
1726 Laehr Dr
LINCOLN CA 95648-2141
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Panelo, Diego H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43538 Primary Status: Current
Address :
7473 Holworthy Way
257
SACRAMENTO CA 95842-4142
SACRAMENTO COUNTY
