California State Board of Optometry
Licensing details for: 6258
Name: COSTCO WHOLESALE #469
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
8125 FLETCHER PKWY
LA MESA CA 91942
SAN DIEGO 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: ARAMBUL, MATTHEW RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1767 Primary Status: Cancelled
Address :
4553 TEXAS ST APT 4
SAN DIEGO CA 92116
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARCIA, LYDIA G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1647 Primary Status: Cancelled
Address :
7816 NICHALS ST
LEMON GROVE CA 91945
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: POORE, SHERYL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2170 Primary Status: Cancelled
Address :
1150 HAMLET DRIVE
EL CAJON CA 92021
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RAMIREZ, CARLOS EDUARDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8874 Primary Status: Current
Address :
2617 Highland Ave
Unit 1
SAN DIEGO CA 92105-4340
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Segawa, Matthew
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8880 Primary Status: Current
Address :
11024 Fury Ln
LA MESA CA 91941-7309
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEHAU, DAVID ANTON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8130 Primary Status: Current
Address :
2835 Madden Ct
SAN DIEGO CA 92154-2138
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Simpson, Kristina Marie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9266 Primary Status: Current
Address :
4447 Bomar Dr
LA MESA CA 91941-6901
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DOUGLAS, DONNIE CARLTON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8649 Primary Status: Current
Address :
4606 Boxwood Dr
SAN DIEGO CA 92117-3008
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lee, Young-Jae
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7967 Primary Status: Cancelled
Address :
8750 Mellmanor Dr Apt 32
LA MESA CA 91942-3163
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ZEEKAF, JESSICA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8059 Primary Status: Current
Address :
2009 Caminito De La Cruz
CHULA VISTA CA 91913-3927
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RADER, JONATHAN PAUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2108 Primary Status: Cancelled
Address :
5401 BALTIMORE DRIVE #46
LA MESA CA 91942
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CADION, JOHANNA C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1638 Primary Status: Current
Address :
7724 Canterbury Ln
DUBLIN CA 94568-1936
ALAMEDA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VOUAUX, PATRICIA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1470 Primary Status: Current
Address :
9167 HONEY LANE
SANTEE CA 92071
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Torgison, Justin Thomas Jr
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9218 Primary Status: Current
Address :
11318 Arborside Way
SAN DIEGO CA 92131-1562
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BAUTISTA, ALAN JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2172 Primary Status: Current
Address :
11135 CATARINA LANE UNIT 77
SAN DIEGO CA 92128
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tannehill, Blake William
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8925 Primary Status: Current
Address :
9645 Genesee Ave
Apt H2
SAN DIEGO CA 92121-1831
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LELEVIER, SARA NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5354 Primary Status: Cancelled
Address :
7819 RANCHO FANITA DR #B
SANTEE CA 92071
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROSE, ROSALYN ELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4640 Primary Status: Cancelled
Address :
6735 BROADWAY
SAN DIEGO CA 92114
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAUTISTA, ALAN JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6543 Primary Status: Current
Address :
11135 CATARINA LANE UNIT 77
SAN DIEGO CA 92128
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RADER, JONATHAN PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6361 Primary Status: Cancelled
Address :
5401 BALTIMORE DRIVE #46
LA MESA CA 91942
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Segawa, Matthew
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42715 Primary Status: Current
Address :
11024 Fury Ln
LA MESA CA 91941-7309
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DOUGLAS, DONNIE CARLTON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41458 Primary Status: Current
Address :
4606 Boxwood Dr
SAN DIEGO CA 92117-3008
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ZEEKAF, JESSICA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40305 Primary Status: Current
Address :
2009 Caminito De La Cruz
CHULA VISTA CA 91913-3927
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEHAU, DAVID ANTON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6651 Primary Status: Current
Address :
657 Fig Ave
CHULA VISTA CA 91910-5443
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VOUAUX, PATRICIA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2158 Primary Status: Current
Address :
9167 Honey Ln
SANTEE CA 92071-4033
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Simpson, Kristina Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43752 Primary Status: Current
Address :
4447 Bomar Dr
LA MESA CA 91941-6901
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lee, Young-Jae
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40014 Primary Status: Cancelled
Address :
8750 Mellmanor Dr
LA MESA CA 91942-3163
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: POORE, SHERYL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6541 Primary Status: Cancelled
Address :
1150 HAMLET DR
EL CAJON CA 92021
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WALKER, MERCEDES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5846 Primary Status: Current
Address :
4512 Upland Street
LA MESA CA 91941
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARAMBUL, MATTHEW RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5695 Primary Status: Cancelled
Address :
4553 TEXAS ST APT 4
SAN DIEGO CA 92116
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Torgison, Justin Thomas Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43680 Primary Status: Current
Address :
11318 Arborside Way
SAN DIEGO CA 92131-1562
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SUTTON, CRYSTAL MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4570 Primary Status: Cancelled
Address :
1012 NCCAIN VALLEY COURT
CHULA VISTA CA 91913
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHIODI, ANDREW LOUIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4657 Primary Status: Current
Address :
2852 Redwood St
SAN DIEGO CA 92104-4529
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tannehill, Blake William
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42976 Primary Status: Current
Address :
8544 Paseo De Los Castillos
SANTEE CA 92071-4186
SAN DIEGO COUNTY
