California State Board of Optometry
Licensing details for: 6550
Name: BABAUTA, THOMAS ANTHONY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Address of Record
150 Coronado Ave Apt 403
DALY CITY CA 94015-3374
SAN MATEO 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
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6456 Primary Status: Current
Address :
1600 EL CAMINO REAL BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: BABAUTA, THOMAS ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2178 Primary Status: Delinquent
Address :
150 Coronado Ave
apt 403
DALY CITY CA 94015-3357
SAN MATEO COUNTY



