California State Board of Optometry
Licensing details for: 8871
Name: Ortiz, Samantha Alyssa
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
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 #147
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70686 Primary Status: Current
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ortiz, Samantha Alyssa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42186 Primary Status: Current
Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY



