California State Board of Optometry
Licensing details for: 71279
Name: Costco Wholesale Corporation
Doing Business As: Costco Wholesale #1660
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
350 Newpark Mall
NEWARK CA 94560-5201
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: Wu, Jaden
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9222 Primary Status: Current
Address :
36371 Perkins St
FREMONT CA 94536-4728
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: 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: Wu, Jaden
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43529 Primary Status: Current
Address :
36371 Perkins St
FREMONT CA 94536-4728
ALAMEDA COUNTY



