California State Board of Optometry
Licensing details for: 6825
Name: COSTCO WHOLESALE #464
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
7981 E STOCKTON BLVD
SACRAMENTO CA 95823
SACRAMENTO 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: Penner, Tracy Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8604 Primary Status: Current
Address :
11994 Peach Ln
WILTON CA 95693-9678
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SWINNEY, LORI ANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1368 Primary Status: Revoked
Address :
6704 BLUE DUCK WAY
SACRAMENTO CA 95842
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Martinez, Amanda Josephine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8632 Primary Status: Delinquent
Address :
2266 Craig Ave
SACRAMENTO CA 95832
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DE LA GARZA, ALICIA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2169 Primary Status: Current
Address :
8512 CALAIS CIR
SACRAMENTO CA 95828
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBERTSON, EILEEN JO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2273 Primary Status: Current
Address :
8083 PRIMOAK WAY
ELK GROVE CA 95758
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRESSER, KELLI ALLENE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1771 Primary Status: Delinquent
Address :
2001 Meadow Wind Ct
ELVERTA CA 95626-9670
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hsiao, Hwamo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8823 Primary Status: Current
Address :
11260 White Rock Rd
RANCHO CORDOVA CA 95742-6571
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hoang, Thao Thi Thanh
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9291 Primary Status: Current
Address :
7104 Baugh Ct
CITRUS HEIGHTS CA 95610-4038
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PATEL, MITA D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2067 Primary Status: Current
Address :
8183 Mailer Way
ELK GROVE CA 95758-8030
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PATEL, MITA D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6132 Primary Status: Current
Address :
8183 Mailer Way
ELK GROVE CA 95758-8030
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Penner, Tracy Ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42104 Primary Status: Current
Address :
11994 Peach Ln
WILTON CA 95693-9678
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRAN, BINH QUANG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40902 Primary Status: Current
Address :
7243 Hayward Dr
SACRAMENTO CA 95828-3815
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hoang, Thao Thi Thanh
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43608 Primary Status: Current
Address :
7104 Baugh Ct
CITRUS HEIGHTS CA 95610-4038
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRESSER, KELLI ALLENE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4631 Primary Status: Delinquent
Address :
2001 Meadow Wind Ct
ELVERTA CA 95626-9670
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SWINNEY, LORI ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4033 Primary Status: Revoked
Address :
COSTCO OPTICAL
6750 STANFORD RANCH RD
ROSEVILLE CA 95678
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBERTSON, EILEEN JO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6760 Primary Status: Current
Address :
8083 Primoak Way
ELK GROVE CA 95758-7906
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLIAMS, TRACY FERNELL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4813 Primary Status: Cancelled
Address :
PO BOX 580016
ELK GROVE CA 95758
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE LA GARZA, ALICIA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6536 Primary Status: Current
Address :
8512 CALAIS CIR
SACRAMENTO CA 95828
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCLAUGHLIN, LAURA JANE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4495 Primary Status: Cancelled
Address :
2100 Dr Ml King Jr Pkwy
CHICO CA 95928-4422
BUTTE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOTO, KIMBERLY LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4941 Primary Status: Current
Address :
115 Technology Dr
IRVINE CA 92618
ORANGE COUNTY
