California State Board of Optometry
Licensing details for: 5895
Name: COSTCO WHOLESALE
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2655 EL CAMINO REAL
TUSTIN CA 92680
ORANGE 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: Khooda, Eamon George
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8528 Primary Status: Current
Address :
2655 El Camino Real
TUSTIN CA 92782
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BRADLEY, WILLIAM R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8656 Primary Status: Current
Address :
14502 Harper St
MIDWAY CITY CA 92655-1011
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HO, STACIE THUYPHUONG
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9139 Primary Status: Current
Address :
10752 Chapman Ave
GARDEN GROVE CA 92840-3211
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KERR, VIRGINIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8205 Primary Status: Current
Address :
16172 Summer Sky Pl
TUSTIN CA 92782-2829
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OWENATI, ALEX
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1981 Primary Status: Current
Address :
PO Box 17303
ANAHEIM CA 92817-7303
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LUONG, LIEM UY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8132 Primary Status: Current
Address :
12101 Dale Ave Spc 106
STANTON CA 90680-4707
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORALES, MELISSA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1427 Primary Status: Current
Address :
2345 E Dana Ave
ORANGE CA 92867-7805
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HO, STACIE THUYPHUONG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43519 Primary Status: Current
Address :
10752 Chapman Ave
GARDEN GROVE CA 92840-3211
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KERR, VIRGINIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40352 Primary Status: Current
Address :
16172 Summer Sky Pl
TUSTIN CA 92782-2829
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OWENATI, ALEX
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6051 Primary Status: Current
Address :
PO Box 17303
ANAHEIM CA 92817-7303
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BRADLEY, WILLIAM R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41393 Primary Status: Current
Address :
14502 Harper St
MIDWAY CITY CA 92655-1011
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, MELISSA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4594 Primary Status: Current
Address :
2345 E Dana Ave
ORANGE CA 92867-7805
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LUONG, LIEM UY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40538 Primary Status: Current
Address :
12101 Dale Ave Spc 106
STANTON CA 90680-4707
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Khooda, Eamon George
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41590 Primary Status: Current
Address :
2655 El Camino Real
TUSTIN CA 92782-8918
ORANGE COUNTY



