California State Board of Optometry
Licensing details for: 70686
Name: COSTCO WHOLESALE #147
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
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: PASTA, NERISSA ILACAD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9325 Primary Status: Current
Address :
4174 Glenwood terr
unit 2
UNION CITY CA 94587
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Manansala, Daisy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8493 Primary Status: Current
Address :
376 Bellevue ave
DALY CITY CA 94014
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Yu, Sung Chol
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8917 Primary Status: Current
Address :
1062 Arbor Rd
MENLO PARK CA 94025-5026
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cruz, Henry
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8589 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ortiz, Samantha Alyssa
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8871 Primary Status: Current
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lim, Lolita Mariano
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8822 Primary Status: Current
Address :
1428 S Mayfair Ave
DALY CITY CA 94015-3866
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ortiz, Samantha Alyssa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42186 Primary Status: Current
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Yu, Sung Chol
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42877 Primary Status: Current
Address :
1062 Arbor Rd
MENLO PARK CA 94025-5026
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lim, Lolita Mariano
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42542 Primary Status: Current
Address :
1428 S Mayfair Ave
DALY CITY CA 94015-3866
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cruz, Henry
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42011 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Manansala, Daisy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41054 Primary Status: Current
Address :
376 Bellevue Ave
DALY CITY CA 94014-1365
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PASTA, NERISSA ILACAD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43736 Primary Status: Current
Address :
4174 Glenwood Ter Unit 2
UNION CITY CA 94587-3939
ALAMEDA COUNTY
