California State Board of Optometry
Licensing details for: 6842
Name: COSTCO WHOLESALE #470
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5301 ALMADEN EXPRESSWAY
SAN JOSE CA 95118
SANTA CLARA 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: PHOUNRATH, RAFLYN LAURON P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1553 Primary Status: Current
Address :
1061 Vineyard Dr
OAKLEY CA 94561-3805
CONTRA COSTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Perez, Noe
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8671 Primary Status: Current
Address :
4599 Bolero Dr
SAN JOSE CA 95111-2506
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: sandoval, briana darlene
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8490 Primary Status: Cancelled
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARRILLO, TIFFANY EVETTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1978 Primary Status: Current
Address :
7251 Camino Arroyo
GILROY CA 95020-7340
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGUYEN, THANH YEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1846 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OLEGARIO, MARK ANGELO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2060 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: palacios, lillian m
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8955 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Leon-Jacobo, Angel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9002 Primary Status: Delinquent
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cortez Pelayo, Jazmin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8427 Primary Status: Current
Address :
5301 Almaden Expy.
SAN JOSE CA 95118
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DAVIS, DOUGLAS RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8017 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MAI, XUAN THANH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8028 Primary Status: Current
Address :
742 Calero Ave
SAN JOSE CA 95123-4006
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ramirez, damien Robert Jr
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9246 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: Miranda, Shawn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8892 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CANDELARIA, JESSICA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8351 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUMAPOS JR, MODESTO DEGUZMAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1955 Primary Status: Cancelled
Address :
1046 PEBBLECREEK COURT
SAN JOSE CA 95127-3911
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: sandoval, briana darlene
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41624 Primary Status: Current
Address :
5450 Thornwood Dr
Suite A
SAN JOSE CA 95123-1222
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARRILLO, TIFFANY EVETTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6407 Primary Status: Current
Address :
7251 Camino Arroyo
GILROY CA 95020-7340
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Leon-Jacobo, Angel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43193 Primary Status: Delinquent
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ramirez, damien Robert Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43624 Primary Status: Current
Address :
11260 White Rock Rd
RANCHO CORDOVA CA 95742-6571
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BANDY, RICHARD LELAND
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40957 Primary Status: Current
Address :
275 Nightingale Dr
GILROY CA 95020-7652
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUMAPOS JR, MODESTO DEGUZMAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6003 Primary Status: Cancelled
Address :
1046 PEBBLECREEK COURT
SAN JOSE CA 95127-3911
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: palacios, lillian m
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43094 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cortez Pelayo, Jazmin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41436 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRAN, KIM TO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5405 Primary Status: Cancelled
Address :
5301 ALMADEN EXPRESSWAY
SAN JOSE CA 95118
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CANDELARIA, JESSICA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41093 Primary Status: Current
Address :
5301 Almaden Expy
SAN JOSE CA 95118-3603
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARAWAN, RAFLYN L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4232 Primary Status: Current
Address :
1061 Vineyard Dr
OAKLEY CA 94561-3805
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Miranda, Shawn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42861 Primary Status: Current
Address :
5301 Almaden Expressway
SAN JOSE CA 95118
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ruelas, Angel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42583 Primary Status: Delinquent
Address :
2665 N 1st St
suite 207
SAN JOSE CA 95134-2027
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MAI, XUAN THANH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40193 Primary Status: Current
Address :
742 Calero Ave
SAN JOSE CA 95123-4006
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAVIS, DOUGLAS RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40167 Primary Status: Current
Address :
2201 Senter Rd
SAN JOSE CA 95112-2627
SANTA CLARA COUNTY
