California State Board of Optometry

Licensing details for: 5969

Name: COSTCO WHOLESALE CORP

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Address of Record

17301 EAST GALE AVE
CITY OF INDUSTRY CA 91748
LOS ANGELES county
Map

Issuance Date

June 13, 1994

Expiration Date

June 30, 2002

Current Date / Time

November 6, 2025
2:59:22 PM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: RODRIGUEZ, ROMMEL ROBERTO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4388 Primary Status: Current

Address :
8701 SAN ANTONIO DRIVE
BUENA PARK CA 90620
ORANGE COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MEJIA, MIGUEL ANGEL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4318 Primary Status: Cancelled

Address :
15920 Pomona Rincon Rd
7502
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY