California State Board of Optometry
Licensing details for: 43073
Name: Vancourt, Justin
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
SAN JOAQUIN 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 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
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Vancourt, Justin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8975 Primary Status: Current
Address :
2680 Reynolds Ranch Pkwy
LODI CA 95240-6848
