California State Board of Optometry
Licensing details for: 43262
Name: Perez, Adam
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
2219 Vine Ave
ESCALON CA 95320-2137
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: 6171 Primary Status: Current
Address :
3801 PELANDALE AVE
MODESTO CA 95356
STANISLAUS COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Perez, Adam
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9144 Primary Status: Current
Address :
2219 Vine Ave
ESCALON CA 95320-2137
SAN JOAQUIN COUNTY



