California State Board of Optometry

Licensing details for: 6869

Name: FRY, TREVOR JAMES

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

10301 Newton Way
RANCHO CORDOVA CA 95670-2024
SACRAMENTO county
Map

Issuance Date

August 20, 2013

Expiration Date

December 31, 2016

Current Date / Time

November 6, 2025
4:15:56 AM

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: 7583 Primary Status: Current

Address :
2680 REYNOLDS RANCH PKWY
LODI CA 95240
SAN JOAQUIN COUNTY