California State Board of Optometry
Licensing details for: 8849
Name: Smith, Diana Marie
License Type: Registered Contact Lens Dispenser
Primary Status: Current
Address of Record
6147 American Ave
MODESTO CA 95356
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6171 Primary Status: Current
Address :
3801 PELANDALE AVE
MODESTO CA 95356
STANISLAUS COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Smith, Diana Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42563 Primary Status: Current
Address :
6147 American Ave
MODESTO CA 95356-9746
STANISLAUS COUNTY
