California State Board of Optometry
Licensing details for: 6869
Name: COSTCO WHOLESALE #658
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN 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: FRANCIS, MELWIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9281 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Godinez, Gabriela
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9156 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Perez, Nerildy Alexis
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9292 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MENDOZA, ELSA Y
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8312 Primary Status: Cancelled
Address :
1450 Granite Creek Dr
PATTERSON CA 95363-8772
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORALES-SNOW, DEBORAH L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1634 Primary Status: Current
Address :
COSTCO WHOLESALE
2015 Claribel Rd
RIVERBANK CA 95376
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Saba, Perfecto Nguyen
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8627 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: YOCIUS, LELA L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1985 Primary Status: Current
Address :
1715 TAHOE CIRCLE
TRACY CA 95376
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUTIERREZ, LIDIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2301 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lopez, Adriana Antonia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42935 Primary Status: Delinquent
Address :
35 E Cataldi Ave
MOUNTAIN HOUSE CA 95391-8229
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENDOZA, ELSA Y
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6883 Primary Status: Cancelled
Address :
1450 Granite Creek Dr
PATTERSON CA 95363-8772
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BALLARD, ROBERT D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2750 Primary Status: Cancelled
Address :
6255 HAPPY PINES ROAD
FORESTHILL CA 95631
PLACER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Godinez, Gabriela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43165 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Perez, Nerildy Alexis
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43528 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HATFIELD, NICHOLAS ADAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5717 Primary Status: Delinquent
Address :
9337 Creekside Ln
MODESTO CA 95357-1707
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YOCIUS, LELA L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6057 Primary Status: Current
Address :
1715 TAHOE CIRCLE
TRACY CA 95376
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gomez, Eudocia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43835 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRANCIS, MELWIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43792 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUTIERREZ, LIDIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6820 Primary Status: Current
Address :
3250 W Grant Line Rd
TRACY CA 95304-8427
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GALLARDO, JULISSA F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6002 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
