California State Board of Optometry
Licensing details for: 6933
Name: COSTCO WHOLESALE #771
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
7000 AUBURN BLVD
CITRUS HEIGHTS CA 95621
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: DE LA TORRE, ANGELICA HELENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8783 Primary Status: Delinquent
Address :
2408 Camino Garden Way
CARMICHAEL CA 95608-5105
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MEDINGER, JANE NELL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1883 Primary Status: Cancelled
Address :
8319 FOXFIRE DRIVE
ORANGEVALE CA 95662
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: calderon, priscilla m
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9060 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CASTANEDA, ORLANDO M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2214 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: BALLARD, ROBERT D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2156 Primary Status: Cancelled
Address :
6280 BAYWOOD CT
FORESTHILL CA 95631
PLACER COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Martinez, Mara
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9102 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Johnson, Genevieve Grace
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9290 Primary Status: Current
Address :
4709 Hayford Way Apt 1
SACRAMENTO CA 95842-3248
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rodriguez, Celine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8640 Primary Status: Current
Address :
4498 San Juan Ave
FAIR OAKS CA 95628-5612
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: wijaya, nadine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8645 Primary Status: Delinquent
Address :
5101 Hackberry Ln
apt # 111
The Trees at Madison
SACRAMENTO CA 95841-4772
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gilliard, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8539 Primary Status: Current
Address :
6833 Anchor Cir
FAIR OAKS CA 95628-3222
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BOETTCHER, SHAUNENE LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1332 Primary Status: Cancelled
Address :
3892 PROSSER ST
W SACRAMENTO CA 95691
YOLO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEDINGER, JANE NELL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5730 Primary Status: Delinquent
Address :
8319 FOXFIRE DR
ORANGEVALE CA 95662
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BOETTCHER, SHAUNENE LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4867 Primary Status: Cancelled
Address :
3892 PROSSER ST
W SACRAMENTO CA 95691
YOLO 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: CASTANEDA, ORLANDO M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6555 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: Martinez, Mara
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43434 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: wijaya, nadine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42136 Primary Status: Cancelled
Address :
5101 Hackberry Ln.
apt# 111
SACRAMENTO CA 95841
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Carter, Jeffrey Walter
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41805 Primary Status: Delinquent
Address :
5020 Jewel St
#2027
ROCKLIN CA 95677-3271
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Johnson, Genevieve Grace
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43612 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gilliard, Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41809 Primary Status: Current
Address :
6833 Anchor Cir
FAIR OAKS CA 95628-3222
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: calderon, priscilla m
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43349 Primary Status: Current
Address :
7000 Auburn Blvd
CITRUS HEIGHTS CA 95621-4342
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rodriguez, Celine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42147 Primary Status: Current
Address :
4498 San Juan Ave
FAIR OAKS CA 95628-5612
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE LA TORRE, ANGELICA HELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42682 Primary Status: Delinquent
Address :
9009 Green River Way
ORANGEVALE CA 95662-4135
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOTO, KIMBERLY LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4941 Primary Status: Current
Address :
115 Technology Dr
IRVINE CA 92618
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Fermin, Darren
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43348 Primary Status: Current
Address :
13141 Virgil Ave
CUTLER CA 93615-2279
TULARE COUNTY
