California State Board of Optometry
Licensing details for: 6456
Name: COSTCO WHOLESALE
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO 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: KOHLER, MICHAEL JOHN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1724 Primary Status: Delinquent
Address :
1074 GILMAN DRIVE
DALY CITY CA 94015
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Manansala, Daisy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8493 Primary Status: Current
Address :
376 Bellevue ave
DALY CITY CA 94014
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Vien, Roger
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9220 Primary Status: Current
Address :
1600 El Camino Real
SOUTH SAN FRANCISCO CA 94080-1206
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Diaz, Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8842 Primary Status: Current
Address :
10 Eastridge Cir
PACIFICA CA 94044-1101
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: lao, vang
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9064 Primary Status: Current
Address :
36 santa barbara ave
SAN FRANCISCO CA 94112
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Violanda, Jann Marthie Esmero
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8950 Primary Status: Current
Address :
595 Clarinada Ave
Apt 10
DALY CITY CA 94015
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MACHES, JAMES RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8138 Primary Status: Current
Address :
450 10th St
SAN FRANCISCO CA 94103-4304
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHEE, KENNETH K.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1709 Primary Status: Current
Address :
477 2nd Ave
SAN FRANCISCO CA 94118-3204
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BABAUTA, THOMAS ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2178 Primary Status: Delinquent
Address :
150 Coronado Ave
apt 403
DALY CITY CA 94015-3357
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ramirez, Leahrose Asuncion
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8897 Primary Status: Current
Address :
950 Brunswick St
DALY CITY CA 94014-1348
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Crisostomo, Leonard
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9107 Primary Status: Current
Address :
22 Murray St.
SAN FRANCISCO CA 94112
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hoang, Ada
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8418 Primary Status: Current
Address :
477 2nd Ave
SAN FRANCISCO CA 94118
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MIZZI, DANIEL JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2194 Primary Status: Current
Address :
2901 FLEETWOOD DR
SAN BRUNO CA 94066
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TACALOG, KHAREN L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1485 Primary Status: Cancelled
Address :
33 SAN JOSE AVE
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: QUAN, SHELAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1318 Primary Status: Cancelled
Address :
39 LEWIS AVE
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lim, Lolita Mariano
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8822 Primary Status: Current
Address :
1428 S Mayfair Ave
DALY CITY CA 94015-3866
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KOHLER, MICHAEL JOHN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5642 Primary Status: Delinquent
Address :
1074 GILMAN DRIVE
DALY CITY CA 94015
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: lao, vang
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43360 Primary Status: Current
Address :
36 santa barbara ave
SAN FRANCISCO CA 94112
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TACULOG, KHAREN L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5300 Primary Status: Cancelled
Address :
33 SAN JOSE AVE
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MACHES, JAMES RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40554 Primary Status: Current
Address :
450 10th St
SAN FRANCISCO CA 94103-4304
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHEE, KENNETH K.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5342 Primary Status: Current
Address :
477 2ND AVE
SAN FRANCISCO CA 94118
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BABAUTA, THOMAS ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6550 Primary Status: Delinquent
Address :
150 Coronado Ave Apt 403
DALY CITY CA 94015-3374
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MIZZI, DANIEL JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6572 Primary Status: Current
Address :
2901 FLEETWOOD DR
SAN BRUNO CA 94066
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Saba, Perfecto Nguyen
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41200 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vien, Roger
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43017 Primary Status: Current
Address :
76 Mercury St
SAN FRANCISCO CA 94124-2253
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Crisostomo, Leonard
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43315 Primary Status: Current
Address :
22 Murray St
SAN FRANCISCO CA 94112-1135
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LI, KEVIN JIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41725 Primary Status: Current
Address :
3773 Erris Ct
SOUTH SAN FRANCISCO CA 94080-3840
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Manansala, Daisy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41054 Primary Status: Current
Address :
376 Bellevue Ave
DALY CITY CA 94014-1365
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hoang, Ada
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41173 Primary Status: Current
Address :
160 Paraiso Pl
SAN FRANCISCO CA 94132-1339
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Turie, Hirut
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41292 Primary Status: Cancelled
Address :
564 Mastick Ave
apt # 4
SAN BRUNO CA 94066-4338
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: QUAN, SHELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4871 Primary Status: Cancelled
Address :
39 LEWIS AVE
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
