California State Board of Optometry
Licensing details for: 6899
Name: COSTCO WHOLESALE #765
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1800 CAVITT CT
FOLSOM CA 95630
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: Arias, Roxanne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8566 Primary Status: Cancelled
Address :
9676 Snowberry Way
ORANGEVALE CA 95662-5531
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AHERN, ANITA JESSICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8107 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Angel-Perez, Antonia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8994 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: luna, Brooke
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8536 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: WAMBOLD, ANN MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8111 Primary Status: Cancelled
Address :
3253 Buckeye Ct
PLACERVILLE CA 95667-8334
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Patro, Amy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9317 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CLARK, CLAYTON PAUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2149 Primary Status: Current
Address :
4491 Palencia Pl
EL DORADO HILLS CA 95762-6745
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARO, ISAAH R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1798 Primary Status: Cancelled
Address :
705 Bidwell St Apt 1
FOLSOM CA 95630-3001
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Thome, Krystal Rochael-Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8966 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chapman, Rebecca Anne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8445 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBERTSON, SEAN T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8144 Primary Status: Current
Address :
1006 W Wabash Ave
EUREKA CA 95501-2121
HUMBOLDT COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HOLT, CRYSTAL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1454 Primary Status: Cancelled
Address :
3442 NORTHAM WAY
EL DORADO HILLS CA 95762
EL DORADO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Scott, Roy Christopher
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8920 Primary Status: Current
Address :
3881 E Commerce Way
SACRAMENTO CA 95834-4017
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HURBACE, LYNN BERNICE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1628 Primary Status: Cancelled
Address :
9690 GAVERN LANE
SACRAMENTO CA 95829
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BRANDAU, GINA RACHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2281 Primary Status: Cancelled
Address :
6139 CHERRELYN WAY
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Frost, Alexander Robert
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8800 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Buescher, Sarah Elizabeth
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8515 Primary Status: Current
Address :
104 Tacana Dr
FOLSOM CA 95630-2224
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: luna, Brooke
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41490 Primary Status: Current
Address :
8801 Piedra Way
FAIR OAKS CA 95628-3911
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WAMBOLD, ANN MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40453 Primary Status: Cancelled
Address :
3253 Buckeye Ct
PLACERVILLE CA 95667-8334
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARO, ISAAH R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5733 Primary Status: Cancelled
Address :
705 Bidwell St Apt 1
FOLSOM CA 95630-3001
SACRAMENTO 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: ROBERTSON, SEAN T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40570 Primary Status: Current
Address :
1006 W Wabash Ave
EUREKA CA 95501-2121
HUMBOLDT COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Patro, Amy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43871 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: Golden, Brianna Jane
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41236 Primary Status: Cancelled
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Angel-Perez, Antonia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42884 Primary Status: Current
Address :
1800 Cavitt Dr
FOLSOM CA 95630-6235
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Arias, Roxanne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41733 Primary Status: Delinquent
Address :
2110 N Arthur Ave
FRESNO CA 93705-5136
FRESNO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HOLT, CRYSTAL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5089 Primary Status: Cancelled
Address :
3442 NORTHAM WAY
EL DORADO HILLS CA 95762
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FOSTER, MARY ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5205 Primary Status: Cancelled
Address :
3568 RYAN DR
DIAMOND SPRINGS CA 95619
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chapman, Rebecca Anne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41267 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: BRANDAU, GINA RACHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6781 Primary Status: Cancelled
Address :
6139 CHERRELYN WAY
CARMICHAEL CA 95608
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Buescher, Sarah Elizabeth
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41454 Primary Status: Current
Address :
104 Tacana Dr
FOLSOM CA 95630-2224
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AHERN, ANITA JESSICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40448 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: HURBACE, LYNN BERNICE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5530 Primary Status: Cancelled
Address :
9690 GAVERN LANE
SACRAMENTO CA 95829
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCLAUGHLIN, LAURA JANE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4495 Primary Status: Cancelled
Address :
2100 Dr Ml King 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: CLARK, CLAYTON PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6442 Primary Status: Current
Address :
4491 Palencia Pl
EL DORADO HILLS CA 95762-6745
EL DORADO COUNTY
