California State Board of Optometry
Licensing details for: 70779
Name: COSTCO WHOLESALE #1267
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
6898 Raleigh Rd
SAN JOSE CA 95119-1730
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: Rosevear, Amanda Raeann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8370 Primary Status: Current
Address :
50 Marguerite Dr
HOLLISTER CA 95023-9082
SAN BENITO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WATSON, GARRETT G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8135 Primary Status: Cancelled
Address :
1129 Laurel St Apt 4
SANTA CRUZ CA 95060-4271
SANTA CRUZ COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: rodriguez, brillit
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8835 Primary Status: Current
Address :
3018 Creek Estates Ct
SAN JOSE CA 95135-1356
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rosas Lopez, Debora Noemi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9324 Primary Status: Current
Address :
4500 The Woods Dr
3303
SAN JOSE CA 95136-4601
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WAHL, RICHARD FRANCIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8246 Primary Status: Current
Address :
109 Brook St
SAN CARLOS CA 94070-4556
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Minor, Marissa Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8769 Primary Status: Current
Address :
4250 Southside Rd
HOLLISTER CA 95023-9637
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gussman, Patrice
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8301 Primary Status: Cancelled
Address :
921 Foothill Dr
SAN JOSE CA 95123-4521
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ruiz, Ronald
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8743 Primary Status: Current
Address :
1165 Vista Way
SAN JUAN BAUTISTA CA 95045-9684
SAN BENITO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: farias, mario bernadino
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8615 Primary Status: Current
Address :
6898 Raleigh Rd
SAN JOSE CA 95119-1730
SANTA CLARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RAMOS, DAVID ALLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9079 Primary Status: Current
Address :
1324 Arnold Ave
SAN JOSE CA 95110-1403
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: farias, mario bernadino
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41957 Primary Status: Current
Address :
4678 Symphony Ln
SAN JOSE CA 95111-2575
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gussman, Patrice
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41109 Primary Status: Cancelled
Address :
921 Foothill Dr
SAN JOSE CA 95123-4521
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: rodriguez, brillit
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42775 Primary Status: Current
Address :
3018 creek estates ct
SAN JOSE CA 95135
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rosas Lopez, Debora Noemi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43893 Primary Status: Current
Address :
4500 The Woods Dr Apt 3303
SAN JOSE CA 95136-4613
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rosevear, Amanda Raeann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41259 Primary Status: Current
Address :
50 Marguerite Dr
HOLLISTER CA 95023-9082
SAN BENITO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ruiz, Ronald
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42127 Primary Status: Current
Address :
1165 Vista Way
SAN JUAN BAUTISTA CA 95045-9684
SAN BENITO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rocha, Danielle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42125 Primary Status: Cancelled
Address :
16 N Line St
HOLLISTER CA 95023-3579
SAN BENITO COUNTY



