California State Board of Optometry
Licensing details for: 5717
Name: HATFIELD, NICHOLAS ADAM
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent
Address of Record
9337 Creekside Ln
MODESTO CA 95357-1707
STANISLAUS 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 #782
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6995 Primary Status: Current
Address :
2955 N TEGNER RD
TURLOCK CA 95380
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #658
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6869 Primary Status: Current
Address :
3250 W GRANT LINE RD
TRACY CA 95377
SAN JOAQUIN COUNTY
