California State Board of Optometry
Licensing details for: 6995
Name: COSTCO WHOLESALE #782
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
2955 N TEGNER RD
TURLOCK CA 95380
STANISLAUS 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: Padilla, Heriberto
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9274 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Kuruhara, Krysta Serene
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8303 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TOY, JENNY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1000 Primary Status: Cancelled
Address :
1106 FERNWOOD DRIVE
MILLBRAE CA 94030
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GODOY, ERIKA SORIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8010 Primary Status: Current
Address :
763 Columbia St
TURLOCK CA 95380-5211
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: REED, KIMBERLY WYNNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2297 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Monzon, Alejandro
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8526 Primary Status: Current
Address :
4202 Warda Ave
KEYES CA 95328-9767
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HATFIELD, NICHOLAS ADAM
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1954 Primary Status: Delinquent
Address :
9337 Creekside Ln
MODESTO CA 95357-1707
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRIBBLE, KARA RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8496 Primary Status: Current
Address :
2261 Georgia Way
TURLOCK CA 95382-1653
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cooper, Nikkole Laine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8452 Primary Status: Current
Address :
1157 Chapman St
WINTERS CA 95694-2126
YOLO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Padilla, Heriberto
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43718 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS 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: Monzon, Alejandro
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41394 Primary Status: Current
Address :
4202 Warda Ave
KEYES CA 95328-9767
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cooper, Nikkole Laine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41485 Primary Status: Current
Address :
1157 Chapman St
WINTERS CA 95694-2126
YOLO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REED, KIMBERLY WYNNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6810 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GODOY, ERIKA SORIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40142 Primary Status: Current
Address :
763 Columbia St
TURLOCK CA 95380-5211
STANISLAUS 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: GRIBBLE, KARA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41434 Primary Status: Current
Address :
2261 Georgia Way
TURLOCK CA 95382-1653
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kuruhara, Krysta Serene
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41115 Primary Status: Current
Address :
2955 N Tegner Rd
TURLOCK CA 95380-9401
STANISLAUS COUNTY
