California State Board of Optometry

Licensing details for: 40100

Name: NGUYEN, MYLIEN T

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

3136 Nicoletta Ln
STOCKTON CA 95212-3144
SAN JOAQUIN county
Map

Issuance Date

April 23, 2014

Expiration Date

January 31, 2028

Current Date / Time

November 6, 2025
4:17:46 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE CORPORATION

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7583 Primary Status: Current

Address :
2680 REYNOLDS RANCH PKWY
LODI CA 95240
SAN JOAQUIN COUNTY