California State Board of Optometry
Licensing details for: 6820
Name: COSTCO WHOLESALE #1042
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Previous Names: COSTCO WHOLESALE #409
Address of Record
2300 MIDDLEFIELD RD
REDWOOD CITY CA 94063
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: 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: borges, jeremy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8501 Primary Status: Current
Address :
4337 amador rd
FREMONT CA 94538
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lau, Henry Kai Yin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9063 Primary Status: Current
Address :
645 Heather Ct
PACIFICA CA 94044-2106
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LEUNG, CANDACE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2130 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: with, Jeff
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9011 Primary Status: Current
Address :
2458 Goodwin Ave
REDWOOD CITY CA 94061-2506
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Juarez, Ernesto R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9113 Primary Status: Current
Address :
3223 Pumpherston Way
SAN JOSE CA 95148-4032
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PAIYOU, WENDY H.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1651 Primary Status: Cancelled
Address :
514 INDEPENDENCE DRIVE
SAN JOSE CA 95111
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aguilera, Mayra G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9136 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SUNICO, MILES JUSTIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9262 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
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, Izabel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9267 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MILANOVA, YOVKA D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2126 Primary Status: Delinquent
Address :
1715 REDWOOD AVENUE
REDWOOD CITY CA 94061
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ACOSTA, ANGELINA C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8030 Primary Status: Cancelled
Address :
1220 Chesbro Way
GILROY CA 95020-3814
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: batlin, michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9114 Primary Status: Current
Address :
2607 Monserat Ave
BELMONT CA 94002-1445
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HOM, NATALIE NGADIEP
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8378 Primary Status: Current
Address :
2880 CORTINA WAY
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CRIVELLO, GENEVIVE NICOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8377 Primary Status: Cancelled
Address :
27 Big Tree Rd
WOODSIDE CA 94062-2602
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CAGUIAT, LAIZADEL SANTOS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2036 Primary Status: Current
Address :
742 Banks St
SAN FRANCISCO CA 94110-6116
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LUONG, TONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2151 Primary Status: Current
Address :
2714 KENDRICK CIR
SAN JOSE CA 95121
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lau, Henry Kai Yin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43132 Primary Status: Current
Address :
645 Heather Ct
PACIFICA CA 94044
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SUNICO, MILES JUSTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43568 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CAGUIAT, LAIZADEL SANTOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6168 Primary Status: Current
Address :
742 Banks St
SAN FRANCISCO CA 94110-6116
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: borges, jeremy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41561 Primary Status: Current
Address :
4337 Amador Rd
FREMONT CA 94538-1201
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARDUQUE, FARRAH PARAWAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4925 Primary Status: Current
Address :
2802 GLEN SHARON WAY
SAN JOSE CA 95148
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ramirez, Izabel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43531 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ACOSTA, ANGELINA C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6579 Primary Status: Cancelled
Address :
1220 Chesbro Way
GILROY CA 95020-3814
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PAIYOU, WENDY H.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5574 Primary Status: Current
Address :
514 INDEPENDENCE DRIVE
SAN JOSE CA 95111
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Juarez, Ernesto R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43462 Primary Status: Current
Address :
3223 Pumpherston Way
SAN JOSE CA 95148-4032
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LY, LINH T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4953 Primary Status: Current
Address :
2201 Verne Roberts Cir
ANTIOCH CA 94509-7911
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANTA ELENA, SAMANTHA FRANCES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6617 Primary Status: Current
Address :
2637 DUHALLOW WAY
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEUNG, CANDACE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5949 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: with, Jeff
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42897 Primary Status: Current
Address :
2458 Goodwin Ave
REDWOOD CITY CA 94061
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HOM, NATALIE NGADIEP
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41085 Primary Status: Current
Address :
2880 Cortina Way
UNION CITY CA 94587-1552
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CURRY, JANET R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5749 Primary Status: Cancelled
Address :
944 MOUTON CIR
EAST PALO ALTO CA 94303
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aguilera, Mayra G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43118 Primary Status: Current
Address :
582 Stanford Ave
REDWOOD CITY CA 94063-3425
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BREITE, WILLIAM EDWARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4337 Primary Status: Cancelled
Address :
3836 PALOS VERDES WAY
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CRIVELLO, GENEVIVE NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41303 Primary Status: Cancelled
Address :
27 Big Tree Rd
WOODSIDE CA 94062-2602
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LUONG, TONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6509 Primary Status: Current
Address :
2714 KENDRICK CIR
SAN JOSE CA 95121
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: batlin, michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43143 Primary Status: Current
Address :
2300 Middlefield Rd
REDWOOD CITY CA 94063-2854
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MILANOVA, YOVKA D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6325 Primary Status: Cancelled
Address :
1715 REDWOOD AVENUE
REDWOOD CITY CA 94061
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CADION, JOHANNA C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4923 Primary Status: Current
Address :
7724 Canterbury Ln
DUBLIN CA 94568-1936
ALAMEDA COUNTY



