California State Board of Optometry
Licensing details for: 42011
Name: Cruz, Henry
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
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 #1061
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7513 Primary Status: Current
Address :
28505 HESPERIAN BLVD.
HAYWARD CA 94545
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #147
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70686 Primary Status: Current
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Cruz, Henry
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8589 Primary Status: Delinquent
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177



