California State Board of Optometry
Licensing details for: 7513
Name: COSTCO WHOLESALE #1061
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
28505 HESPERIAN BLVD.
HAYWARD CA 94545
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: SHAUF, JASMINE P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2302 Primary Status: Cancelled
Address :
24784 TOWNSEND AVENUE
HAYWARD CA 94544
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NORCROSS, JENNIFER LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1500 Primary Status: Cancelled
Address :
PO BOX 1041
COTTONWOOD CA 96022
SHASTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Knight, SonDae
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9059 Primary Status: Current
Address :
28850 Dixon St
537
HAYWARD CA 94544-5588
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MATHEWSON, ERIC CHRISTOPHER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2308 Primary Status: Cancelled
Address :
3406 KELLY STREET
HAYWARD CA 94541
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MEDRANO, ZAIDA ALICIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1968 Primary Status: Current
Address :
28505 Hesperian Blvd
HAYWARD CA 94545-5008
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ceja, Ariana Araceli
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8948 Primary Status: Current
Address :
33822 14th St
UNION CITY CA 94587
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Suarez, Margine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8827 Primary Status: Current
Address :
2443 Tallahassee St
HAYWARD CA 94545-3457
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DE LA CRUZ, ROSALINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9065 Primary Status: Current
Address :
461 Urbano Ave
HAYWARD CA 94544-1549
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Velasco, Emma Rose
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9275 Primary Status: Current
Address :
77 Via Verde
SAN LORENZO CA 94580-3424
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Balabis, Romnel Christian
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8357 Primary Status: Cancelled
Address :
16530 Toledo St
SAN LEANDRO CA 94578-1247
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BALABIS, ROMNEL CHRISTIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41118 Primary Status: Cancelled
Address :
16530 Toledo St
SAN LEANDRO CA 94578-1247
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Velasco, Emma Rose
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43584 Primary Status: Current
Address :
77 Via Verde
SAN LORENZO CA 94580-3424
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: villavicencio, ana janette
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43018 Primary Status: Current
Address :
1512 oriole ave
SAN LEANDRO CA 94578
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Knight, SonDae
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42883 Primary Status: Current
Address :
28850 Dixon St
537
HAYWARD CA 94544-5588
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHAUF, JASMINE P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6821 Primary Status: Cancelled
Address :
24784 TOWNSEND AVENUE
HAYWARD CA 94544
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE LA CRUZ, ROSALINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43357 Primary Status: Current
Address :
461 Urbano Ave
HAYWARD CA 94544-1549
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JIMENEZ, JOCELYN GUADALUPE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41113 Primary Status: Cancelled
Address :
27744 Orlando Ave
HAYWARD CA 94545-4755
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ceja, Ariana Araceli
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42836 Primary Status: Current
Address :
33822 14th St
UNION CITY CA 94587-3314
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cruz, Henry
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42011 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEDRANO, ZAIDA ALICIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6050 Primary Status: Current
Address :
28505 HESPERIAN BLVD
HAYWARD CA 94545
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NORCROSS, JENNIFER LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4718 Primary Status: Cancelled
Address :
PO BOX 1041
COTTONWOOD CA 96002
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATHEWSON, ERIC CHRISTOPHER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6834 Primary Status: Cancelled
Address :
3406 KELLY STREET
HAYWARD CA 94541
ALAMEDA COUNTY
