California State Board of Optometry
Licensing details for: 5731
Name: COSTCO WHOLESALE CORPORATION #48
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Previous Names: COSTCO WHOLESALE CORPORATION
Address of Record
6100 SEPULVEDA BLVD
VAN NUYS CA 91411
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: Chamberlin, Ashleigh C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8986 Primary Status: Current
Address :
16539 Gilmore St
LAKE BALBOA CA 91406-5608
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: velarde, sasha
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9115 Primary Status: Current
Address :
11464 Oxnard St
Apt 3
NORTH HOLLYWOOD CA 91606-4188
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aragon Sanchez, Lariza
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8806 Primary Status: Current
Address :
16079 Yarnell St
C-10
SYLMAR CA 91342
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NASTASI, BROOKE ESPERANZA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1960 Primary Status: Current
Address :
24979 constitution
1512
STEVESON RANCH CA 91381
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Brown, Celida Rodriguez
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8913 Primary Status: Delinquent
Address :
10400 Canoga Ave
Apt 106
CHATSWORTH CA 91311-2202
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GIJON, CRISTINA EDITH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8753 Primary Status: Current
Address :
6100 Sepulveda Blvd
VAN NUYS CA 91411-2503
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Negrete, Andrew
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9298 Primary Status: Current
Address :
6432 Agnes Ave
7
NORTH HOLLYWOOD CA 91606-1537
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Flores, Andrea Christian
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8669 Primary Status: Current
Address :
4407 Cahuenga Blvd
TOLUCA LAKE CA 91602-2301
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Silva, Lizette
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9172 Primary Status: Current
Address :
13000 Harding St
SYLMAR CA 91342-3412
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lopez, Krystal Marie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9124 Primary Status: Current
Address :
6729 Fulton Ave Apt 3
VAN NUYS CA 91401-1229
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KHALIL, WALID S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2037 Primary Status: Current
Address :
20929 Parthenia St
Apt #24
CANOGA PARK CA 91304-2054
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HADDAD, JACKLIN NIDAL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1917 Primary Status: Current
Address :
17226 Ceredo Pl
GRANADA HILLS CA 91344-1606
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lopez, Krystal Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43485 Primary Status: Current
Address :
6729 Fulton Ave Apt 3
VAN NUYS CA 91401-1229
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Flores, Andrea Christian
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41979 Primary Status: Current
Address :
4407 Cahuenga Blvd
TOLUCA LAKE CA 91602-2301
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HADDAD, JACKLIN NIDAL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5862 Primary Status: Current
Address :
17226 Ceredo Pl
GRANADA HILLS CA 91344-1606
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NASTASI, BROOKE ESPERANZA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6016 Primary Status: Current
Address :
24979 constitution ave
#1512
STEVENSON RANCH CA 91381
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chamberlin, Ashleigh C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42993 Primary Status: Current
Address :
16539 Gilmore St
LAKE BALBOA CA 91406-5608
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: velarde, sasha
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43130 Primary Status: Current
Address :
11464 oxnard street
apt 3
NORTH HOLLYWOOD CA 91606
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GIJON, CRISTINA EDITH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41831 Primary Status: Current
Address :
6118 Hazelhurst Place
Apt. 9
NORTH HOLLYWOOD CA 91606
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KHALIL, WALID SALAH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5589 Primary Status: Current
Address :
20929 Parthenia St
Apt #24
CANOGA PARK CA 91304-2054
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Negrete, Andrew
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43622 Primary Status: Current
Address :
6432 Agnes Ave Apt 7
NORTH HOLLYWOOD CA 91606-1532
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Brown, Celida Rodriguez
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42968 Primary Status: Delinquent
Address :
10400 Canoga Ave
Apt 106
CHATSWORTH CA 91311-2202
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Silva, Lizette
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43590 Primary Status: Current
Address :
13000 Harding St
SYLMAR CA 91342-3412
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aragon Sanchez, Lariza
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42320 Primary Status: Current
Address :
6100 Sepulveda Blvd
VAN NUYS CA 91411-2503
LOS ANGELES COUNTY



