California State Board of Optometry
Licensing details for: 3839
Name: COSTCO WHOLESALE #488
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: PRICE CLUB-413 ❖ PRICE CLUB OPTICAL
Address of Record
2345 FENTON PARKWAY
SAN DIEGO CA 92108
SAN DIEGO county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gaudette, Aaron
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8591 Primary Status: Current
Address :
6275 Rancho Mission Rd
#209
SAN DIEGO CA 92108-1851
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Soto, Ricardo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9097 Primary Status: Current
Address :
2345 Fenton Pkwy
optical department
SAN DIEGO CA 92108-4743
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Valdez, Lisa Lowery
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8564 Primary Status: Current
Address :
320 I St
CHULA VISTA CA 91910-5605
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: willis, Gloria Bertha
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9095 Primary Status: Current
Address :
1297 Nacion Ave
CHULA VISTA CA 91911-3703
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Johnson, Halifu
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8885 Primary Status: Current
Address :
10477 Moorpark St
SPRING VALLEY CA 91978-1510
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KRAUS, ASHLEY RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2212 Primary Status: Current
Address :
1171 Adena Way
SAN MARCOS CA 92069-8124
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARL, BRANDEA NICHOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1847 Primary Status: Cancelled
Address :
9041 EL DORADO PARKWAY #35
EL CAJON CA 92021
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HARRIS, KEVIN E JR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8385 Primary Status: Delinquent
Address :
7830 Mocking Bird Dr
Unit H
SAN DIEGO CA 92123-3306
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: IGEL, MARIO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8549 Primary Status: Current
Address :
6136 Calle Mariselda Unit 302
SAN DIEGO CA 92124-1147
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCMURRIN, ALICE P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1635 Primary Status: Cancelled
Address :
10767 SAN DIEGO MISSION RD #202
SAN DIEGO CA 92108
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: parkin, daniel michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8900 Primary Status: Current
Address :
4436 Arizona St
12
SAN DIEGO CA 92116-2957
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Farris, Nicholas
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8552 Primary Status: Current
Address :
8180 Brennan St
SAN DIEGO CA 92114-3413
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Polus, Mariam
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8534 Primary Status: Cancelled
Address :
255 s 2nd st
unit 20
EL CAJON CA 92019
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COLLINS, CHERYL MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7982 Primary Status: Cancelled
Address :
1321 Manor Dr
EL CAJON CA 92021-1409
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORET, AMBER MONIQUE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2202 Primary Status: Cancelled
Address :
7735 BORREGO ST
SAN DIEGO CA 92114
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARSOZA, BERNALYN DE LOS SANTO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1869 Primary Status: Current
Address :
1130 Broadway
CHULA VISTA CA 91911-2707
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SIMARD, PATTIJO NICOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2213 Primary Status: Current
Address :
4541 Bancroft St
SAN DIEGO CA 92116-4487
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PARAGAS, DOROTEA P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1740 Primary Status: Current
Address :
650 Gateway Center Dr
SAN DIEGO CA 92102-4530
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: willis, Gloria Bertha
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43775 Primary Status: Current
Address :
1297 Nacion Ave
CHULA VISTA CA 91911-3703
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VOONG, PHENH DENH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4945 Primary Status: Cancelled
Address :
4323 PARKS AVE # 25
LA MESA CA 91941
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SARSOZA, BERNALYN DE LOS SANTO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5686 Primary Status: Current
Address :
1130 Broadway
CHULA VISTA CA 91911
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIMARD, PATTIJO NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6486 Primary Status: Current
Address :
4424 44th St
Apt 215
SAN DIEGO CA 92115-4300
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Farris, Nicholas
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41850 Primary Status: Current
Address :
8180 Brennan St
SAN DIEGO CA 92114-3413
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: parkin, daniel michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42944 Primary Status: Current
Address :
4436 Arizona St
12
SAN DIEGO CA 92116
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATKINSON, JACQUELYNN CHELSEY CONYERS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40541 Primary Status: Current
Address :
12712 Via Sombras
POWAY CA 92064-2515
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUTCHINSON, KAYLA JANE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6474 Primary Status: Cancelled
Address :
P.O. BOX 600132
SAN DIEGO CA 92160
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOHI, SUZAN YUNIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5971 Primary Status: Cancelled
Address :
846 EAST PARK AVENUE
EL CAJON CA 92020
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GREENLAW, DOROTHY MAE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4608 Primary Status: Cancelled
Address :
226 BEECH AVE
CHULA VISTA CA 91910
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Soto, Ricardo
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42878 Primary Status: Current
Address :
2345 Fenton Pkwy
optical department
SAN DIEGO CA 92108-4743
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Johnson, Halifu
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42902 Primary Status: Current
Address :
10477 Moorpark St
SPRING VALLEY CA 91978-1510
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, KEVIN E JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40951 Primary Status: Delinquent
Address :
5340 Adobe Falls Rd
Unit H
SAN DIEGO CA 92120-4441
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARDENAS, MARIA G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40363 Primary Status: Cancelled
Address :
6460 Convoy Ct Spc 228
SAN DIEGO CA 92117-2318
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORET, AMBER MONIQUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6498 Primary Status: Cancelled
Address :
7735 BORREGO ST
SAN DIEGO CA 92114
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KRAUS, ASHLEY RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6614 Primary Status: Current
Address :
1171 Adena Way
SAN MARCOS CA 92069-8124
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Polus, Mariam
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41784 Primary Status: Cancelled
Address :
255 s 2nd st
unit 20
EL CAJON CA 92019
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COTHRAN, KAREN ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40332 Primary Status: Cancelled
Address :
8314 Rockview Dr
EL CAJON CA 92021-1165
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEYERS, STEPHEN LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3587 Primary Status: Current
Address :
1846 Cathedral Gln
ESCONDIDO CA 92029-3029
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCMURRIN, ALICE P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3837 Primary Status: Cancelled
Address :
10767 San Diego Mission Rd Unit 202
SAN DIEGO CA 92108-2436
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gaudette, Aaron
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42022 Primary Status: Current
Address :
6275 Rancho Mission Rd
#209
SAN DIEGO CA 92108-1851
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COLLINS, CHERYL MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40020 Primary Status: Cancelled
Address :
1321 Manor Dr
EL CAJON CA 92021-1409
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARAGAS, DOROTEA P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5600 Primary Status: Current
Address :
229 HENRIETTA CT
SAN DIEGO CA 92114
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Valdez, Lisa Lowery
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41812 Primary Status: Current
Address :
320 I St
CHULA VISTA CA 91910-5605
SAN DIEGO COUNTY
