California State Board of Optometry
Licensing details for: 6617
Name: COSTCO WHOLESALE #125
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1006 WEST WABASH AVENUE
EUREKA CA 95501
HUMBOLDT 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: ROBERTSON, SEAN T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8144 Primary Status: Current
Address :
1006 W Wabash Ave
EUREKA CA 95501-2121
HUMBOLDT COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Masters, Maegan Tara
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9122 Primary Status: Current
Address :
1006 W Wabash Ave
EUREKA CA 95501-2121
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AUST, CYNTHIA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1649 Primary Status: Current
Address :
1687 JUSTICE COURT
FORTUNA CA 95540
HUMBOLDT COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WILSON, VALERI EVA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8191 Primary Status: Current
Address :
4718 Frederick Dr
EUREKA CA 95503-8809
HUMBOLDT COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Spinas, Crystal Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8704 Primary Status: Current
Address :
3818 Little Fairfield St
EUREKA CA 95503-5823
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Masters, Maegan Tara
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43189 Primary Status: Current
Address :
2135 thiel ave
MCKINLEYVILLE CA 95519
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILSON, VALERI EVA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40568 Primary Status: Current
Address :
4718 Frederick Dr
EUREKA CA 95503-8809
HUMBOLDT COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AUST, CYNTHIA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4457 Primary Status: Current
Address :
1687 JUSTICE COURT
FORTUNA CA 95540
HUMBOLDT COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBERTSON, SEAN T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40570 Primary Status: Current
Address :
1006 W Wabash Ave
EUREKA CA 95501-2121
HUMBOLDT COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Spinas, Crystal Michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42371 Primary Status: Current
Address :
3818 Little Fairfield St
EUREKA CA 95503-5823



