California State Board of Optometry
Licensing details for: 5968
Name: COSTCO WHOLESALE CORP
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
14601 VALLEY CENTRAL DR
VICTORVILLE CA 92392
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: SMITH, CARL D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 559 Primary Status: Cancelled
Address :
912 SOMERSET AVE
POMONA CA 91767
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NG, KEVIN KWOK-WA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1171 Primary Status: Cancelled
Address :
25673 MAITLAND DR
HAYWARD CA 94542
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COLLINS, MARGARET FRANCES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1358 Primary Status: Cancelled
Address :
9152 C AVENUE SP 7
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SMITH, CARL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 847 Primary Status: Cancelled
Address :
912 SOMERSET AVE
POMONA CA 91767
LOS ANGELES 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: DAVILA, DEANA DENISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4268 Primary Status: Delinquent
Address :
14555 Valley Center Dr
VICTORVILLE CA 92395-4216
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAIRD, JEFFREY LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5460 Primary Status: Cancelled
Address :
14411 Palmdale Rd Spc 14
VICTORVILLE CA 92392-2759
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COLLINS, MARGARET FRANCES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3755 Primary Status: Cancelled
Address :
9152 C AVENUE SP 7
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NG, KEVIN KWOK-WA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3947 Primary Status: Cancelled
Address :
25673 MAITLAND DR
HAYWARD CA 94542
ALAMEDA COUNTY
