California State Board of Optometry
Licensing details for: 41103
Name: Favela, Alexa Anne
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA 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 #1004
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7307 Primary Status: Current
Address :
1709 AUTOMATION PARKWAY
SAN JOSE CA 95131
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE CORP
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6100 Primary Status: Current
Address :
1601 Coleman Ave
SANTA CLARA CA 95050-3122
SANTA CLARA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Favela, Alexa Anne
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8298 Primary Status: Current
Address :
1786 Deer Creek Ct
SAN JOSE CA 95148-1402
SANTA CLARA COUNTY
