California State Board of Optometry
Licensing details for: 6843
Name: COSTCO WHOLESALE #471
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1600 EXPO PKWY
SACRAMENTO CA 95815
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: PECINOVSKY, SHARON DENECE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1613 Primary Status: Cancelled
Address :
100 Cypress Ln
ROSEVILLE CA 95678-1004
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Delarosa, Christopher
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9271 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MacDonald, Adam
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8637 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
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: Lee, Billy Blong
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9034 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: Saechao, Farm
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8575 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: Joe, Derricka Angela Lil
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8869 Primary Status: Current
Address :
43621 Pacific Commons Blvd
FREMONT CA 94538-3809
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Liu, Courtney K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8553 Primary Status: Cancelled
Address :
3612 Carneros Creek Way
SACRAMENTO CA 95834-1033
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Palacios Palomino, Oswaldo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8444 Primary Status: Current
Address :
1657 Oak Park Dr
LINDA CA 95901-6899
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SCHLARP, LYNDA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1685 Primary Status: Current
Address :
1532 SONOMA AVENUE
SACRAMENTO CA 95815
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Leung, Wan Tung
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9029 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: 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: BARAN, LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8071 Primary Status: Cancelled
Address :
1648 Black Bear St
ROSEVILLE CA 95747-4619
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PYLES, TRACY LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2162 Primary Status: Current
Address :
5681 Norman Way
SACRAMENTO CA 95822-3140
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: THAO, CHOU LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8309 Primary Status: Delinquent
Address :
7445 Ingalls Way
SACRAMENTO CA 95831-4766
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALLEN, PRESTON MARTIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8032 Primary Status: Cancelled
Address :
3009 44th St
SACRAMENTO CA 95817-3735
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Xiong, Va
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9269 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: Lu, Stephen
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9137 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Xiong, Va
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43352 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALLEN, PRESTON MARTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40085 Primary Status: Cancelled
Address :
3009 44th St
SACRAMENTO CA 95817-3735
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCHLARP, LYNDA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5608 Primary Status: Current
Address :
1532 SONOMA AVENUE
SACRAMENTO CA 95815
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: THAO, CHOU LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40818 Primary Status: Delinquent
Address :
7445 Ingalls Way
SACRAMENTO CA 95831-4766
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kinsey, McKhyden Drew
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43692 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Saechao, Farm
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41582 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Carrington, Katherine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41538 Primary Status: Delinquent
Address :
2100 Dr Mlk 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: MacDonald, Adam
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41758 Primary Status: Current
Address :
83 Nutwood Cir
SACRAMENTO CA 95833-1621
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PALOMINO, OSWALDO PALACIOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40707 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
SACRAMENTO 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: BARAN, LISA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40336 Primary Status: Cancelled
Address :
1648 Black Bear St
ROSEVILLE CA 95747-4619
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PYLES, TRACY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6525 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lee, Billy Blong
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43040 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANGOMPIT, DARREN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40381 Primary Status: Cancelled
Address :
4001 S Watt Ave Apt 83
SACRAMENTO CA 95826-4481
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Leung, Wan Tung
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43198 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lu, Stephen
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43281 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OLEGARIO, MARK ANGELO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6238 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BOWLING, TOM M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2640 Primary Status: Cancelled
Address :
3670 CHARMSTONE WAY
IONE CA 95640
AMADOR COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Liu, Courtney K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41746 Primary Status: Cancelled
Address :
3612 Carneros Creek Way
SACRAMENTO CA 95834-1033
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PECINOVSKY, SHARON DENECE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5504 Primary Status: Cancelled
Address :
100 Cypress Ln
ROSEVILLE CA 95678-1004
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Delarosa, Christopher
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43735 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HER, SHINNIE YER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40926 Primary Status: Cancelled
Address :
7727 Laurie Way
SACRAMENTO CA 95832-1512
SACRAMENTO COUNTY



