California State Board of Optometry
Licensing details for: 42169
Name: Widenbaum, Diane
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
521 Justin Morgan Dr
ALAMO CA 94507-2249
CONTRA COSTA 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 #21
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6191 Primary Status: Current
Address :
3150 FOSTORIA WAY
DANVILLE CA 94526
CONTRA COSTA COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Widenbaum, Diane
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8679 Primary Status: Current
Address :
3150 Fostoria Way
DANVILLE CA 94526-5553
CONTRA COSTA COUNTY



