California State Board of Optometry
Licensing details for: 6617
Name: SANTA ELENA, SAMANTHA FRANCES
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
2637 DUHALLOW WAY
SOUTH SAN FRANCISCO CA 94080
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 #422
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6884 Primary Status: Current
Address :
451 S AIRPORT BLVD
SOUTH SAN FRANCISCO CA 94080
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1042
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6820 Primary Status: Current
Address :
2300 MIDDLEFIELD RD
REDWOOD CITY CA 94063
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SANTA ELENA, SAMANTHA FRANCES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2255 Primary Status: Current
Address :
2637 DUHALLOW WAY
S SAN FRANCISCO CA 94080
SAN MATEO COUNTY



