California State Board of Optometry
Licensing details for: 71464
Name: COSTCO WHOLESALE #1702
Doing Business As: COSTCO WHOLESALE CORPORATION
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
5200 Baseline Rd
ROSEVILLE CA 95747-9740
PLACER 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: Panelo, Diego H
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9146 Primary Status: Current
Address :
7473 Holworthy Way
257
SACRAMENTO CA 95842-4142
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Panelo, Diego H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43538 Primary Status: Current
Address :
7473 Holworthy Way
257
SACRAMENTO CA 95842-4142
SACRAMENTO COUNTY



