California State Board of Optometry
Licensing details for: 4642
Name: SA, JONATHAN MANUEL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
3750 SO MOONEY BLVD
VISALIA CA 93277
TULARE 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 CORP
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5963 Primary Status: Cancelled
Address :
3750 S MOONEY
VISALIA CA 93277
TULARE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #657
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6873 Primary Status: Current
Address :
7100 N ABBY ST
FRESNO CA 93720
FRESNO COUNTY



