California State Board of Optometry
Licensing details for: 9144
Name: Perez, Adam
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
2219 Vine Ave
ESCALON CA 95320-2137
SAN JOAQUIN county
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: 71389 Primary Status: Current
Address :
2015 Claribel Rd
RIVERBANK CA 95367-9001
STANISLAUS COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Perez, Adam
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43262 Primary Status: Current
Address :
2219 Vine Ave
ESCALON CA 95320-2137
SAN JOAQUIN COUNTY



