California State Board of Optometry
Licensing details for: 7066
Name: COSTCO WHOLESALE # 778
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
43621 PACIFIC COMMONS BLVD
FREMONT CA 94538
ALAMEDA 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: SZYMANSKI, IRENA JOZEFA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1952 Primary Status: Current
Address :
3610 Haven Ave
FREMONT CA 94538-5542
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Oribello, Christon
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8938 Primary Status: Current
Address :
1668 Pala Ranch Cir
SAN JOSE CA 95133-0900
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Relan, Seth Alexander
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9019 Primary Status: Current
Address :
38872 Roanoke Way
FREMONT CA 94536
ALAMEDA 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: CAMPOS, GUILLERMINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1858 Primary Status: Current
Address :
5413 Borgia Rd
FREMONT CA 94538-3231
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Bustos, Maria Teresa Zapata
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8472 Primary Status: Cancelled
Address :
4560 Delores Dr
UNION CITY CA 94587-4836
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GASPARIAN, ARA RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1725 Primary Status: Delinquent
Address :
4254 Lorren Dr
FREMONT CA 94536-6861
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BORNEA, MIRALLY P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2135 Primary Status: Current
Address :
1438 NORVELLA STREET
SAN JOSE CA 95122
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SZYMANSKI, IRENA JOZEFA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5996 Primary Status: Current
Address :
3610 Haven Ave
FREMONT CA 94538-5542
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Oribello, Christon
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42776 Primary Status: Current
Address :
1668 Pala Ranch Cir
SAN JOSE CA 95133-0900
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BORNEA, MIRALLY P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5214 Primary Status: Current
Address :
1438 NORVELLA ST
SAN JOSE CA 95122
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GASPARIAN, ARA RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3783 Primary Status: Delinquent
Address :
4254 Lorren Dr
FREMONT CA 94536-6861
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bustos, Maria Teresa Zapata
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41527 Primary Status: Cancelled
Address :
4560 Delores Drive
UNION CITY CA 94587
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: Relan, Seth Alexander
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43203 Primary Status: Current
Address :
43621 Pacific Commons Blvd
FREMONT CA 94538-3809
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tran, Huyen Trang
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43068 Primary Status: Current
Address :
32410 Regents Blvd
UNION CITY CA 94587-4850
ALAMEDA COUNTY
