California State Board of Optometry
Licensing details for: 6165
Name: COSTCO WHOLESALE #128
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
2660 PARK CENTER DR
SIMI VALLEY CA 93065
VENTURA 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: McPhail, Ciera
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8928 Primary Status: Current
Address :
2660 Park Center Dr
SIMI VALLEY CA 93065-6207
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GONZALEZ, ALICIA LORENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2111 Primary Status: Current
Address :
2660 PARK CENTER DRIVE
SIMI VALLEY CA 93065
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OSTLY, MARY M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1611 Primary Status: Current
Address :
18507 KINGSBURY ST
NORTHRIDGE CA 91326
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PETRAMALO, THEODORE ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2306 Primary Status: Current
Address :
1153 Katey Ln
SIMI VALLEY CA 93063-4621
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Smith-Perez, LaMese
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8332 Primary Status: Current
Address :
2660 Park Center Dr
SIMI VALLEY CA 93065-6207
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Pond, Graciela Beatriz
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8677 Primary Status: Current
Address :
1088 Alta Vista Rd
SIMI VALLEY CA 93063-4773
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Alam, Rim
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8902 Primary Status: Current
Address :
1948 Hillgate Way
Apt D
SIMI VALLEY CA 93065
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OSTLY, MARY M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5313 Primary Status: Current
Address :
18507 KINGSBURY ST
NORTHRIDGE CA 91326
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Smith-Perez, LaMese
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41209 Primary Status: Current
Address :
2660 Park Center Dr
SIMI VALLEY CA 93065-6207
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: McPhail, Ciera
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43016 Primary Status: Current
Address :
2660 Park Center Dr
SIMI VALLEY CA 93065-6207
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALEZ, ALICIA LORENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5879 Primary Status: Current
Address :
2660 PARK CENTER DR
SIMI VALLEY CA 93065
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pond, Graciela Beatriz
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41645 Primary Status: Current
Address :
1088 Alta Vista Rd
SIMI VALLEY CA 93063-4773
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Alam, Rim
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42871 Primary Status: Current
Address :
1948 Hillgate Way
Apt D
SIMI VALLEY CA 93065
VENTURA COUNTY
