California State Board of Optometry

Licensing details for: 1171

Name: NG, KEVIN KWOK-WA

License Type: Registered Contact Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Previous Names: MG, LEVOM LWPL=WA

Address of Record

25673 MAITLAND DR
HAYWARD CA 94542
ALAMEDA county
Map

Issuance Date

December 12, 1996

Expiration Date

October 31, 2016

Current Date / Time

November 7, 2025
4:16:35 AM

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5968 Primary Status: Cancelled

Address :
14601 VALLEY CENTRAL DR
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY