California State Board of Optometry
Licensing details for: 6171
Name: COSTCO WHOLESALE CORPORATION
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
3801 PELANDALE AVE
MODESTO CA 95356
STANISLAUS 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: WEBER, MEAGAN NICHOL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8837 Primary Status: Current
Address :
1129 Billow Way
BANNING CA 92220-3174
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BEAVER, STEVEN PAUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1429 Primary Status: Cancelled
Address :
1005 ROSEMORE AVE
MODESTO CA 95358
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PRATT, BRANDIE LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8250 Primary Status: Delinquent
Address :
3400 Alisa Ct
MODESTO CA 95356-9440
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: iribe, alexis cruz
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9191 Primary Status: Current
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sullivan, Kenneth Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9104 Primary Status: Current
Address :
3007 N Arrowhead Ave
SAN BERNARDINO CA 92405-2601
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Smith, Diana Marie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8849 Primary Status: Current
Address :
6147 American Ave
MODESTO CA 95356
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TASHO, ERNEST KEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8252 Primary Status: Current
Address :
322 Culbertson Dr
LODI CA 95240-8873
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAYLOR, LINDA A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 817 Primary Status: Current
Address :
3550 Fawndale Dr
MODESTO CA 95356-2032
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LANDY, JENNIFER YOLANDA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1662 Primary Status: Current
Address :
3312 Inverness St
MODESTO CA 95355
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: iribe, alexis cruz
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43642 Primary Status: Current
Address :
1722 Catalpa Ave
HIGHLAND CA 92346
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PRATT, BRANDIE LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40729 Primary Status: Delinquent
Address :
3400 Alisa Ct
MODESTO CA 95356-9440
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Perez, Adam
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43262 Primary Status: Current
Address :
2219 Vine Ave
ESCALON CA 95320-2137
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CALVILLO, NANCY JEAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6884 Primary Status: Cancelled
Address :
4812 WILD ROSE DRIVE
SALIDA CA 95368
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAYLOR, LINDA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1348 Primary Status: Current
Address :
3550 Fawndale Dr
MODESTO CA 95356-2032
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, DEBORAH LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5128 Primary Status: Current
Address :
2015 Claribel Rd
RIVERBANK CA 95367-9001
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pimentel, Alma Cecilia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42403 Primary Status: Current
Address :
3801 Pelandale Ave
MODESTO CA 95356-8300
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TASHO, ERNEST KEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40966 Primary Status: Current
Address :
322 Culbertson Dr
LODI CA 95240-8873
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LANDY, JENNIFER YOLANDA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5136 Primary Status: Current
Address :
3312 Inverness St
MODESTO CA 95355-7852
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BEAVER, STEVEN PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5244 Primary Status: Cancelled
Address :
1005 ROSEMORE AVE
MODESTO CA 95358
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sullivan, Kenneth Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43445 Primary Status: Current
Address :
3007 N Arrowhead Ave
SAN BERNARDINO CA 92405-2601
