California State Board of Optometry
Licensing details for: 6884
Name: COSTCO WHOLESALE #422
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
451 S AIRPORT BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO 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: Nantes, Florentino
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8963 Primary Status: Current
Address :
451 S Airport Blvd
SOUTH SAN FRANCISCO CA 94080-6909
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DE LA ROSA, ALBERTO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9099 Primary Status: Current
Address :
1880 Pine St Apt 903
SAN FRANCISCO CA 94109-4469
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHEN, CHANG YI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2085 Primary Status: Current
Address :
867 BYRON DRIVE
S SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Mayora Olivares, Alicia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9142 Primary Status: Current
Address :
987 Brusco Way Apt 4
SOUTH SAN FRANCISCO CA 94080-2315
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CAGUIAT, LAIZADEL SANTOS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2036 Primary Status: Current
Address :
742 Banks St
SAN FRANCISCO CA 94110-6116
SAN FRANCISCO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Nguyen, Minh Chi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8962 Primary Status: Current
Address :
118 wood street
105
SAN FRANCISCO CA 94118-3447
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nantes, Florentino
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43113 Primary Status: Current
Address :
451 S Airport Blvd
SOUTH SAN FRANCISCO CA 94080-6909
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CAGUIAT, LAIZADEL SANTOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6168 Primary Status: Current
Address :
742 Banks St
SAN FRANCISCO CA 94110-6116
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nguyen, Minh Chi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42424 Primary Status: Current
Address :
118 Wood St
Apt 105
SAN FRANCISCO CA 94118
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE LA ROSA, ALBERTO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43429 Primary Status: Current
Address :
1880 Pine St
Apt 903
SAN FRANCISCO CA 94109-4451
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANTA ELENA, SAMANTHA FRANCES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6617 Primary Status: Current
Address :
2637 DUHALLOW WAY
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mayora Olivares, Alicia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43317 Primary Status: Current
Address :
987 Brusco Way Apt 4
SOUTH SAN FRANCISCO CA 94080-2315
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHEN, CHANG YI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6028 Primary Status: Current
Address :
867 BYRON DRIVE
S SAN FRANCISCO CA 94080
SAN MATEO COUNTY
