California State Board of Optometry
Licensing details for: 3955
Name: TABORDA, GABRIEL ANDRES
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #445
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6833 Primary Status: Current
Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92887
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #445
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5468 Primary Status: Cancelled
Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92687
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO # 1001
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7265 Primary Status: Current
Address :
2700 PARK AVENUE
TUSTIN CA 92782
ORANGE COUNTY



