California State Board of Optometry
Licensing details for: 70914
Name: Costco Wholesale #1274
Doing Business As: Costco Wholesale #1274
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: Costco Wholesale Corporation
Address of Record
7400 Elk Grove Blvd
ELK GROVE CA 95757-6299
SACRAMENTO 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: Azevedo, Erin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9041 Primary Status: Current
Address :
9301 Trenholm Drive
ELK GROVE CA 95758
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Martin, Jacob August
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9040 Primary Status: Current
Address :
7400 Elk Grove Blvd
ELK GROVE CA 95757-6299
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Guerrero, Diego Cruz
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9273 Primary Status: Current
Address :
7803 River Otter Way
ELK GROVE CA 95758-1227
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VAN, QUOC HUONG T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8819 Primary Status: Current
Address :
7400 Elk Grove Blvd
ELK GROVE CA 95757-6299
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Pulido, Cristina
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8635 Primary Status: Delinquent
Address :
9007 Colombard Way
SACRAMENTO CA 95829-1210
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tran, Vickie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8838 Primary Status: Current
Address :
3881 E Commerce Way
SACRAMENTO CA 95834-4017
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hardy, Lena olivia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8644 Primary Status: Current
Address :
8462 Mountain Bell Dr
ELK GROVE CA 95624-4205
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Azevedo, Erin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43042 Primary Status: Current
Address :
9301 Trenholm Dr
ELK GROVE CA 95758-6596
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HURBACE, LYNN BERNICE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5530 Primary Status: Cancelled
Address :
9690 GAVERN LANE
SACRAMENTO CA 95829
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tran, Vickie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42822 Primary Status: Current
Address :
3881 E Commerce Way
SACRAMENTO CA 95834-4017
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hardy, Lena olivia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42266 Primary Status: Current
Address :
8462 Mountain Bell Dr
ELK GROVE CA 95624-4205
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Martin, Jacob August
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42732 Primary Status: Current
Address :
3881 E Commerce Way
SACRAMENTO CA 95834-4017
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pulido, Cristina
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42251 Primary Status: Delinquent
Address :
9007 Colombard Way
SACRAMENTO CA 95829-1210
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Guerrero, Diego Cruz
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43781 Primary Status: Current
Address :
7803 River Otter Way
ELK GROVE CA 95758-1227
SACRAMENTO COUNTY
