California State Board of Optometry
Licensing details for: 8919
Name: Patel, Nishaben Dipakbhai
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
17978 Tangerine Way
RIVERSIDE CA 92503-7079
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: 70894 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Patel, Nishaben Dipakbhai
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42997 Primary Status: Current
Address :
17978 Tangerine Way
RIVERSIDE CA 92503-7079



