California State Board of Optometry
Licensing details for: 3998
Name: COSTCO WHOLESALE # 671
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE CORPORATION DBA
Address of Record
14501 HINDRY AVE
HAWTHORNE CA 90250
LOS ANGELES 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: FERNANDEZ, HELEN JANETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1606 Primary Status: Current
Address :
2111 Vanderbilt Ln
Apt E
REDONDO BEACH CA 90278-3040
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MANZO, LAJAZMYNE DIANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2174 Primary Status: Current
Address :
14019 S Northwood Ave
COMPTON CA 90222-3815
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GRIJALVA, MANDY MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2003 Primary Status: Cancelled
Address :
2416 S ALMA STREET
SAN PEDRO CA 90731
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORA, CARLOS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1086 Primary Status: Cancelled
Address :
4522 W 170TH ST
LAWNDALE CA 90260
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SOLOMON, BANA ZEMICAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8198 Primary Status: Delinquent
Address :
2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORTES, JESSICA E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8016 Primary Status: Cancelled
Address :
4020 W 139th St Apt 18
HAWTHORNE CA 90250-7327
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Casillas, Ricardo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9105 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Smith, Brandon Thomas
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8605 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: URIAS RIVAS, MANUELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8974 Primary Status: Current
Address :
815 Cory Dr Apt 1
INGLEWOOD CA 90302-2747
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Campbell, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8991 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BODAN - MARTINEZ, XIOMARA MARGARITA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8477 Primary Status: Current
Address :
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Torres, Dustin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8818 Primary Status: Current
Address :
22433 S Vermont Ave
Apt 320
TORRANCE CA 90502-2427
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERNANDEZ, HELEN JANETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5043 Primary Status: Current
Address :
2111 Vanderbilt Ln
Apt E
REDONDO BEACH CA 90278-3040
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERNANDEZ, MICHAEL R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5021 Primary Status: Cancelled
Address :
3806 WEST BLVD
LOS ANGELES CA 90008
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Smith, Brandon Thomas
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42109 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Campbell, Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42957 Primary Status: Current
Address :
1702 Maple St
SANTA MONICA CA 90405-2726
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOLOMON, BANA ZEMICAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40777 Primary Status: Delinquent
Address :
2171 Bock St
SANTA ROSA CA 95403-1896
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PLATA, ARLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41547 Primary Status: Current
Address :
10218 Stanford Ave
SOUTH GATE CA 90280-5522
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BODAN - MARTINEZ, XIOMARA MARGARITA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41495 Primary Status: Current
Address :
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRIJALVA, MANDY MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5520 Primary Status: Cancelled
Address :
1850 BASSETT ST # 628
DENVER CO 80202
DENVER COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANANIKIAN, KARAPET
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4555 Primary Status: Cancelled
Address :
10553 WAKEFIELD STREET EAST
ADELANTO CA 92301
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CORTES, JESSICA E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40164 Primary Status: Cancelled
Address :
4020 W 139th St Apt 18
HAWTHORNE CA 90250-7327
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORA, CARLOS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3494 Primary Status: Cancelled
Address :
4522 W 170TH ST
LAWNDALE CA 90260
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANZO, LAJAZMYNE DIANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6548 Primary Status: Current
Address :
14019 S Northwood Ave
LAWNDALE CA 90260-6091
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Torres, Dustin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41673 Primary Status: Current
Address :
22433 S Vermont Ave
Apt 320
TORRANCE CA 90502-2427
