California State Board of Optometry
Licensing details for: 5214
Name: BORNEA, MIRALLY P
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
1438 NORVELLA ST
SAN JOSE CA 95122
SANTA CLARA 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: 71279 Primary Status: Current
Address :
350 Newpark Mall
NEWARK CA 94560-5201
ALAMEDA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE # 778
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7066 Primary Status: Current
Address :
43621 PACIFIC COMMONS BLVD
FREMONT CA 94538
ALAMEDA COUNTY
