California State Board of Optometry

Licensing details for: 43543

Name: Rafael, Jennifer Paola

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2391 Dobern Ave
SAN JOSE CA 95116-3719
Map

Issuance Date

September 27, 2024

Expiration Date

September 30, 2026

Current Date / Time

November 6, 2025
8:6:38 AM

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