California State Board of Optometry
Licensing details for: 5892
Name: COSTCO WHOLESALE #1275
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE ❖ COSTCO WHOLESALE #24
Address of Record
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA 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: JOHNSON, CHRISTINA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8098 Primary Status: Delinquent
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Atkinson, Shannon
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8855 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chang, Deanna
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8941 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: McNeil, Adrianne Scheetz
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8847 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUTIERREZ, LUCAS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8463 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MITCHELL, BARBARA JEAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1591 Primary Status: Current
Address :
1700 S Bradley Rd
C/O Costco Optical Dept/Barbara Mitchell
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Diaz, Alexander Lorenzo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9309 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GOMES, BRENDA MARIA PEREIRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8008 Primary Status: Delinquent
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DURON, RALPH RENE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1646 Primary Status: Cancelled
Address :
1618 CANYON DR
SANTA MARIA CA 93454
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RENARD, PAULA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1435 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SORENSON, DAVID K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1585 Primary Status: Cancelled
Address :
COSTCO OPTICAL DEPT
1335 S BRADLEY ST
SANTA MARIA CA 93454
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RENFROE, RACHEL REBECCA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2043 Primary Status: Current
Address :
10710 El Camino Real
#7
ATASCADERO CA 93422
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COX, GINGER ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2241 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Maciel, Frank Anthony
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9313 Primary Status: Current
Address :
211 Navarra Way
SANTA MARIA CA 93454-3477
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Zaragoza, Nancy Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8943 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Bryant, Rebecca Lynn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8510 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HAYES, JENNIFER RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1303 Primary Status: Cancelled
Address :
21205 JASMINES WAY
LAKE FOREST CA 92630
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Diaz, Alexander Lorenzo
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43753 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOHNSON, CHRISTINA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40420 Primary Status: Delinquent
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RENFROE, RACHEL REBECCA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5874 Primary Status: Current
Address :
10710 El Camino Real
#7
ATASCADERO CA 93422
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bryant, Rebecca Lynn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41390 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUTIERREZ, LUCAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41432 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HAYES, JENNIFER RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4510 Primary Status: Cancelled
Address :
21205 JASMINES WAY
LAKE FOREST CA 92630
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RENARD, PAULA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3115 Primary Status: Delinquent
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COX, GINGER ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5758 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOMES, BRENDA MARIA PEREIRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40128 Primary Status: Delinquent
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chang, Deanna
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42936 Primary Status: Current
Address :
1838 Melanie Ct
SANTA MARIA CA 93454-5504
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Zaragoza, Nancy Ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42813 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BLACKMORE, ERNEST EDWARD JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3462 Primary Status: Cancelled
Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Maciel, Frank Anthony
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43756 Primary Status: Current
Address :
211 Navarra Way
SANTA MARIA CA 93454-3477
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MITCHELL, BARBARA JEAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5069 Primary Status: Current
Address :
1700 S Bradley Rd
C/O Costco Optical Dept/Barbara Mitchell
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
