California State Board of Optometry
Licensing details for: 6391
Name: COSTCO WHOLESALE # 474
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE
Address of Record
7095 MARKET PLACE DR
GOLETA CA 93117
SANTA BARBARA 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: CHIPMAN, MISAE A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1811 Primary Status: Current
Address :
2110 Via Arandana
CAMARILLO CA 93012-4016
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gutierrez, Ezequiel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8883 Primary Status: Current
Address :
7095 Market Place Dr
GOLETA CA 93117-5905
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FLASK, SABRINA CATHERINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8382 Primary Status: Cancelled
Address :
7400 Elk Grove Blvd
Optical Department
ELK GROVE CA 95757-6299
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DAVIS, CAROLE A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2064 Primary Status: Cancelled
Address :
4016 Greenwood St
NEWBURY PARK CA 91320-5225
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CAMACHO, BRENDA ANITA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1944 Primary Status: Cancelled
Address :
5700 LINDERO CANYON RD
WESTLAKE VILLAGE CA 91362
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: EATON, CHRISTOPHER PAUL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2095 Primary Status: Cancelled
Address :
13402 IOWA STREET
WESTMINSTER CA 92683
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Thomas, Rachel Glenn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8877 Primary Status: Delinquent
Address :
450 Ellwood Beach Dr
6
GOLETA CA 93117-2577
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Vasquez-Contreras, Andres
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9098 Primary Status: Current
Address :
PO Box 912
SANTA YNEZ CA 93460-0912
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: De Monbrun, Jason
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8581 Primary Status: Current
Address :
7095 Market Place Dr
GOLETA CA 93117-5905
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RENARD, PAULA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1435 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PIPPIN, SUSAN ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1623 Primary Status: Cancelled
Address :
2649 Rikkard Dr
THOUSAND OAKS CA 91362-4609
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SOOUDIPOUR, CYNTHIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1750 Primary Status: Delinquent
Address :
5903 WHEELHOUSE LANE
AGOURA HILLS CA 91301
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HILLEMANN, LYNN RAE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2089 Primary Status: Current
Address :
1712 SINALOA ROAD #201
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: LOPEZ, EDITH ISABEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2235 Primary Status: Current
Address :
7095 MARKET PLACE DR
GOLETA CA 93117
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SCHWARM, BRADEN ROBERT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2299 Primary Status: Current
Address :
1923 De La Vina St Apt 2
SANTA BARBARA CA 93101-2864
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARSON, KRISTIN JOLENE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5570 Primary Status: Cancelled
Address :
7095 MARKETPLACE DRIVE
GOLETA CA 93117
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SCHWARM, BRADEN ROBERT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6814 Primary Status: Current
Address :
1923 DE LA VINA # 2
SANTA BARBARA CA 93101
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LOPEZ, EDITH ISABEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6549 Primary Status: Current
Address :
7095 MARKET PLACE DRIVE
GOLETA CA 93117
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RENTERIA, JOSE SALAZAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4726 Primary Status: Current
Address :
1233 N 7th St
PORT HUENEME CA 93041-2533
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CAMACHO, BRENDA ANITA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5576 Primary Status: Cancelled
Address :
5700 LINDERO CANYON RD
WESTLAKE VILLAGE CA 91362
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Thomas, Rachel Glenn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42857 Primary Status: Delinquent
Address :
450 Ellwood Beach Dr
Unit 6
GOLETA CA 93117-2577
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RENARD, PAULA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3115 Primary Status: Delinquent
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EATON, CHRISTOPHER PAUL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6324 Primary Status: Cancelled
Address :
13402 IOWA STREET
WESTMINSTER CA 92683
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vasquez-Contreras, Andres
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43428 Primary Status: Current
Address :
PO BOX 912
SANTA YNEZ CA 93460-0912
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: De Monbrun, Jason
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42008 Primary Status: Current
Address :
7095 Market Place Dr
GOLETA CA 93117-5905
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOOUDIPOUR, CYNTHIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1357 Primary Status: Delinquent
Address :
5903 WHEELHOUSE LANE
AGOURA HILLS CA 91301
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HILLEMANN, LYNN RAE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6307 Primary Status: Current
Address :
1712 SINALOA ROAD #201
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: ST. PETER, DENNIS ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4858 Primary Status: Cancelled
Address :
4334 DOWITCHER WAY
OCEANSIDE CA 92057
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PIPPIN, SUSAN ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5157 Primary Status: Cancelled
Address :
2649 Rikkard Dr
THOUSAND OAKS CA 91362-4609
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHIPMAN, MISAE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5671 Primary Status: Current
Address :
2110 Via Arandana
CAMARILLO CA 93012-4016
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LACABE, MARK J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4672 Primary Status: Deceased / Closed / Out of Business
Address :
30 WINCHESTER CANYON RD
SPACE 135
GOLETA CA 93117
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FLASK, SABRINA CATHERINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41188 Primary Status: Cancelled
Address :
7400 Elk Grove Blvd
Optical Department
ELK GROVE CA 95757-6299
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAVIS, CAROLE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6124 Primary Status: Cancelled
Address :
4016 Greenwood St
NEWBURY PARK CA 91320-5225
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gutierrez, Ezequiel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42894 Primary Status: Current
Address :
7095 Market Place Dr
GOLETA CA 93117-5905
LOS ANGELES COUNTY
