California State Board of Optometry
Licensing details for: 6883
Name: MENDOZA, ELSA Y
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
1450 Granite Creek Dr
PATTERSON CA 95363-8772
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 #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
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART VISION CENTER #5843
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7673 Primary Status: Current
Address :
1030 SPERRY AVENUE
PATTERSON CA 95363
STANISLAUS COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: MENDOZA, ELSA Y
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8312 Primary Status: Cancelled
Address :
1450 Granite Creek Dr
PATTERSON CA 95363-8772
STANISLAUS COUNTY



