California State Board of Optometry
Licensing details for: 7076
Name: COSTCO WHOLESALE # 143
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1000 N RENGSTORFF
MOUNTAIN VIEW CA 94043
SANTA CLARA 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: Haro Lopez, Karen Andrea
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8866 Primary Status: Current
Address :
375 Henderson Dr
SAN JOSE CA 95123-4414
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BENJAMIN, RAJESH JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2309 Primary Status: Current
Address :
1541 SAWLEAF COURT
SAN JOSE CA 95131
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Llanes, Rock
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8797 Primary Status: Current
Address :
2513 Alma St
PALO ALTO CA 94301-4202
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Bellon, Anthony Luis
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8839 Primary Status: Current
Address :
610 E Weddell Dr
325
SUNNYVALE CA 94089-2389
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tamayo, Ditha
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9321 Primary Status: Current
Address :
1201 Sycamore Terrace Spc. 61
SUNNYVALE CA 94086
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Maenaga, Jenny
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8821 Primary Status: Current
Address :
22357 Starling Dr
LOS ALTOS CA 94024-7440
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Haro Lopez, Karen Andrea
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42589 Primary Status: Current
Address :
375 Henderson Dr
SAN JOSE CA 95123-4414
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tamayo, Ditha
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43880 Primary Status: Current
Address :
1201 Sycamore Ter Spc 61
SUNNYVALE CA 94086-8708
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BENJAMIN, RAJESH JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6840 Primary Status: Current
Address :
1541 SAWLEAF COURT
SAN JOSE CA 95131
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Maenaga, Jenny
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42388 Primary Status: Current
Address :
22357 Starling Dr
LOS ALTOS CA 94024-7440
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bellon, Anthony Luis
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42551 Primary Status: Current
Address :
610 E Weddell Dr
325
SUNNYVALE CA 94089-2389
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Llanes, Rock
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42490 Primary Status: Current
Address :
2513 Alma St
PALO ALTO CA 94301-4202
SANTA CLARA COUNTY



