California State Board of Optometry
Licensing details for: 4126
Name: COSTCO WHOLESALE CORPORATION
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: PRICE CLUB-425 ❖ PRICE CLUB OPTICAL DEPT
Address of Record
1099 E HOSPITALITY DR
SAN BERNARDINO CA 92408
SAN BERNARDINO 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: MERCADO, REBECCA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8310 Primary Status: Current
Address :
10743 Gramercy Pl
RIVERSIDE CA 92505-1339
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NARON, JENNIFER EILEEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8117 Primary Status: Current
Address :
11685 Dalton Way
BEAUMONT CA 92223-6286
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VELA, CAROLYN J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1901 Primary Status: Cancelled
Address :
P.O. BOX 3184
RUNNING SPRINGS CA 92382
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Miller-Garcia, Geanie Christine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9227 Primary Status: Current
Address :
4953 Sepulveda Ave
SAN BERNARDINO CA 92404-1123
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Simms, Jocelyn Diane
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8311 Primary Status: Current
Address :
1544 Villa Ct
HIGHLAND CA 92346-3028
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUEGERICH, KEVIN LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1769 Primary Status: Cancelled
Address :
11557 SPYGLASS CIR
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARCIA, MOISES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8103 Primary Status: Delinquent
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORA, PALOMA G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8304 Primary Status: Current
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AGUILERA, RAYMOND
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2142 Primary Status: Current
Address :
16721 Lake Knoll Pkwy
RIVERSIDE CA 92503-6541
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rocha, Marisela
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8437 Primary Status: Current
Address :
27190 Ocean Dunes St
MORENO VALLEY CA 92555-4913
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AYALA, SANTOS ALEJO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1885 Primary Status: Current
Address :
7927 Standish Ave
JURUPA VALLEY CA 92509-5238
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Carpentero, Samantha Michell
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8506 Primary Status: Delinquent
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NARON, JENNIFER EILEEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40116 Primary Status: Current
Address :
11685 Dalton Way
BEAUMONT CA 92223-6286
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MAYNE, CAMERON SCOTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40217 Primary Status: Cancelled
Address :
117 W Marquita Apt 1
SAN CLEMENTE CA 92672-4782
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rocha, Marisela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41265 Primary Status: Current
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AYALA, SANTOS ALEJO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5875 Primary Status: Current
Address :
7927 Standish Ave
JURUPA VALLEY CA 92509-5238
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Carpentero, Samantha Michell
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41672 Primary Status: Delinquent
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORA, PALOMA G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40250 Primary Status: Current
Address :
1906 Overland St
COLTON CA 92324-6306
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUEGERICH, KEVIN LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5704 Primary Status: Cancelled
Address :
11557 SPYGLASS CIR
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Miller-Garcia, Geanie Christine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43689 Primary Status: Current
Address :
4953 Sepulveda Ave
SAN BERNARDINO CA 92404-1123
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MERCADO, REBECCA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40498 Primary Status: Current
Address :
6355 Juneberry Way
RIVERSIDE CA 92504-1782
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, MOISES JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40019 Primary Status: Delinquent
Address :
1099 E Hospitality Ln
SAN BERNARDINO CA 92408-2813
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WEBER, MEAGAN NICHOL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42105 Primary Status: Current
Address :
1129 Billow Way
BANNING CA 92220-3174
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEEPER, MICHAEL JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4959 Primary Status: Cancelled
Address :
9714 SVL BOX
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Simms, Jocelyn Diane
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41125 Primary Status: Current
Address :
1544 Villa Ct
HIGHLAND CA 92346-3028
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUILERA, RAYMOND
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5912 Primary Status: Current
Address :
16721 Lake Knoll Pkwy
RIVERSIDE CA 92503-6541
RIVERSIDE COUNTY
