California State Board of Optometry
Licensing details for: 6867
Name: COSTCO WHOLESALE #659
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5901 REDWOOD DR
ROHNERT PARK CA 94928
SONOMA 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: Tuaua, Lusi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9119 Primary Status: Current
Address :
1322 Gold Way
ROHNERT PARK CA 94928-1546
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Coates, Earl James III
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8567 Primary Status: Current
Address :
35 Burlington Dr
PETALUMA CA 94952-2249
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FORTIER, KATY LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2093 Primary Status: Cancelled
Address :
1265 PACIFIC AVE APT 15
SANTA ROSA CA 95404
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PORTER, ERIC LASHAE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2280 Primary Status: Current
Address :
5901 Redwood Dr
ROHNERT PARK CA 94928-2076
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Talkington, Hazel Sydney Legaspi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9089 Primary Status: Current
Address :
1322 Gold Way
ROHNERT PARK CA 94928-1546
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PHILBROOK, TERESA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2087 Primary Status: Current
Address :
4451 Hillview Way
ROHNERT PARK CA 94928-1522
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cadena, Jessie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8568 Primary Status: Current
Address :
Po box 15126
SANTA ROSA CA 95402
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JONES, ALICIA THERESE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1762 Primary Status: Cancelled
Address :
7498 MONIQUE PLACE
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BEAL, MILLIE PATRICIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4305 Primary Status: Cancelled
Address :
7323 COLLEGE VIEW DR APT 502
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PORTER, ERIC LASHAE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4968 Primary Status: Cancelled
Address :
7681 CAMINO COLEGIO
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PORTER, ERIC LASHAE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6779 Primary Status: Current
Address :
5901 Redwood Dr
ROHNERT PARK CA 94928-2076
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TOY, JENNY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3240 Primary Status: Cancelled
Address :
1106 FERNWOOD DRIVE
MILLBRAE CA 94030
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Coates, Earl James III
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41563 Primary Status: Current
Address :
35 Burlington Dr
PETALUMA CA 94952
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tuaua, Lusi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43472 Primary Status: Current
Address :
1322 Gold Way
ROHNERT PARK CA 94928-1546
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FORTIER, KATY LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6320 Primary Status: Cancelled
Address :
1265 PACIFC AVE APT 15
SANTA ROSA CA 95404
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cadena, Jesse
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41918 Primary Status: Current
Address :
Po box 15126
SANTA ROSA CA 95402
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Criss, Caleb Charles
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43776 Primary Status: Current
Address :
5 Acorn Cir
PETALUMA CA 94952-6307
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JONES, ALICIA THERESE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5692 Primary Status: Cancelled
Address :
7498 MONIQUE PLACE
ROHNERT PARK CA 94928
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHILBROOK, TERESA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6308 Primary Status: Current
Address :
4451 Hillview Way
ROHNERT PARK CA 94928-1522
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Talkington, Hazel Sydney Legaspi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43084 Primary Status: Current
Address :
1322 Gold Way
ROHNERT PARK CA 94928-1546
SONOMA COUNTY
