California State Board of Optometry
Licensing details for: 6837
Name: COSTCO WHOLESALE #453
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5101 BUSINESS CENTER DR
FAIRFIELD CA 94585
SOLANO 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: SHORT, JASON ALEXANDER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1716 Primary Status: Current
Address :
2797 TOLAND DR
FAIRFIELD CA 94534
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Stell, Brittany Morgan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7972 Primary Status: Cancelled
Address :
1436 Bello Dr
DIXON CA 95620-4838
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PRICE, MINDY LORI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2109 Primary Status: Current
Address :
2100 Dr Ml King Jr Pkwy
CHICO CA 95928-4422
BUTTE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Van Zuiden, Andrew
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9106 Primary Status: Current
Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: USON, SAMANTHA SANTOS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8148 Primary Status: Cancelled
Address :
3923 Stonington Ct
FAIRFIELD CA 94533-8990
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Olvera Huachina, Abigail Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9251 Primary Status: Current
Address :
201 Pennsylvania Ave Apt 223
FAIRFIELD CA 94533-6461
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: piring, Anthony John Antonio
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9023 Primary Status: Current
Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
SOLANO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Martinez Serrano, Jose
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8509 Primary Status: Current
Address :
1110 Trailside Cir
CONCORD CA 94518-2183
CONTRA COSTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WOOD, CRYSTAL L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1394 Primary Status: Cancelled
Address :
6900 STATE HWY 128
NAPA CA 94558
NAPA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: piring, Anthony John Antonio
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43181 Primary Status: Current
Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHORT, JASON ALEXANDER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5633 Primary Status: Current
Address :
2797 Toland Dr
FAIRFIELD CA 94534-3422
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: USON, SAMANTHA SANTOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40579 Primary Status: Cancelled
Address :
3923 Stonington Ct
FAIRFIELD CA 94533-8990
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Martinez Serrano, Jose
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41677 Primary Status: Current
Address :
1110 Trailside Cir
CONCORD CA 94518-2183
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Stell, Brittany Morgan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40031 Primary Status: Cancelled
Address :
1436 Bello Dr
DIXON CA 95620-4838
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Van Zuiden, Andrew
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43394 Primary Status: Current
Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hagood-Anderson, Kaperie Jasmine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41833 Primary Status: Current
Address :
5101 Business Center Dr
FAIRFIELD CA 94534-1624
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PRICE, MINDY LORI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6366 Primary Status: Current
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: 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: Olvera Huachina, Abigail Michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43446 Primary Status: Current
Address :
201 Pennsylvania Ave Apt 223
FAIRFIELD CA 94533-6461
SOLANO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GIOIA, AMY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4879 Primary Status: Cancelled
Address :
507 BASS DR
VACAVILLE CA 95687
SOLANO COUNTY
