California State Board of Optometry
Licensing details for: 7583
Name: COSTCO WHOLESALE CORPORATION
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2680 REYNOLDS RANCH PKWY
LODI CA 95240
SAN JOAQUIN 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: Vancourt, Justin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8975 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Alcantra, Vanessa Monet
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8977 Primary Status: Current
Address :
2680 reynolds ranch pkwy
LODI CA 95240-6848
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VOGT, ANISSA LAURIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8190 Primary Status: Current
Address :
944 Heritage Ct
CLAREMONT CA 91711-1500
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SAVAGE, REBECCA JANINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1994 Primary Status: Current
Address :
7005 Sawgrass Ct
RIVERBANK CA 95367-3330
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JOHNSON, JANET MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8076 Primary Status: Cancelled
Address :
517 E Pine St Apt 4
LODI CA 95240-3031
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Huynh, Taylor
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8987 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGUYEN, MYLIEN THI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8069 Primary Status: Current
Address :
3833 San Marco Dr
STOCKTON CA 95212-3501
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lloren, Melissa Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8976 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALVAREZ, CECILIA CHRISTINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8996 Primary Status: Current
Address :
5037 E Washington St
STOCKTON CA 95215-5358
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ludwig, Allie Cheyenne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8661 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TOY, JENNY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1000 Primary Status: Cancelled
Address :
1106 FERNWOOD DRIVE
MILLBRAE CA 94030
SAN MATEO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Charles, Alyssa
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8641 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VOGT, ANISSA LAURIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40759 Primary Status: Current
Address :
944 Heritage Ct
CLAREMONT CA 91711-1500
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Charles, Alyssa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41959 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Huynh, Taylor
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43150 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SAVAGE, REBECCA JANINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6065 Primary Status: Current
Address :
7005 Sawgrass Ct
RIVERBANK CA 95367-3330
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vancourt, Justin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43073 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALVAREZ, CECILIA CHRISTINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43137 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: xiong, may
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43795 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOHNSON, JANET MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40353 Primary Status: Cancelled
Address :
517 E Pine St Apt 4
LODI CA 95240-3031
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ludwig, Allie Cheyenne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41994 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGUYEN, MYLIEN T
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40100 Primary Status: Current
Address :
3136 Nicoletta Ln
STOCKTON CA 95212-3144
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRY, TREVOR JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6869 Primary Status: Cancelled
Address :
10301 Newton Way
RANCHO CORDOVA CA 95670-2024
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TOY, JENNY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3240 Primary Status: Cancelled
Address :
1106 FERNWOOD DRIVE
MILLBRAE CA 94030
SAN MATEO COUNTY



