California State Board of Optometry

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE # 775

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6993 Primary Status: Current

Address :
12155 TECH CENTER DR
POWAY CA 92064
SAN DIEGO COUNTY

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License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE 643

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7189 Primary Status: Current

Address :
4900 PANAMA LANE
BAKERSFIELD CA 93313
KERN COUNTY

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License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE 746

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7185 Primary Status: Current

Address :
29315 CENTRAL AVE
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY

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License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #1110

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7623 Primary Status: Current

Address :
7562 CENTER AVE
HUNTINGTON BEACH CA 92648
ORANGE COUNTY

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License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: MAPLE, DEBORAH K

License/Registration Type: Registered Contact Lens Dispenser

License Number: 763 Primary Status: Cancelled

Address :
6026 PASEO ALAMEDA
CARLSBAD CA 92009
SAN DIEGO COUNTY

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