California State Board of Optometry
Licensing details for: 6396
Name: COSTCO WHOLESALE # 476
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
2751 SKYPARK DR
TORRANCE CA 90509
LOS ANGELES 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: MANIKIS, FRANCES JOAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2220 Primary Status: Delinquent
Address :
4026 W 173RD PLACE
TORRANCE CA 90504
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HALL, CLYDE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1881 Primary Status: Cancelled
Address :
1431 W 65TH PLACE
LOS ANGELES CA 90047
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUDDLESTON, DENISE CUCITI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1965 Primary Status: Cancelled
Address :
756 W 7TH STREET
SAN PEDRO CA 90731
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2148 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCKELVEY, ANGELA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8106 Primary Status: Current
Address :
2200 E Willow St
SIGNAL HILL CA 90755-2132
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SABLAN, DAVID MATTHEW
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8072 Primary Status: Current
Address :
14501 HINDRY AVE
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FEHR, DEBORAH LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1967 Primary Status: Current
Address :
3138 Newton St Apt F207
TORRANCE CA 90505-6725
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JACKSON, TIMOTHY ALLEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1353 Primary Status: Cancelled
Address :
2751 SKYPARK DRIVE
TORRANCE CA 90505
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCKELVEY, ANGELA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6775 Primary Status: Current
Address :
14501 Hindry Ave
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SABLAN, DAVID MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40337 Primary Status: Current
Address :
14501 HINDRY AVE.
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FEHR, DEBORAH LISA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5783 Primary Status: Current
Address :
3138 Newton St Apt F207
TORRANCE CA 90505-6725
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JACKSON, TIMOTHY ALLEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4323 Primary Status: Cancelled
Address :
2751 SKYPARK DRIVE
TORRANCE CA 90505
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COBOS, JULIAN JOVANNI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6704 Primary Status: Cancelled
Address :
22422 NEPTUNE AVE
CARSON CA 90745
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6497 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANIKIS, FRANCES JOAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6641 Primary Status: Delinquent
Address :
4026 W 173RD PLACE
TORRANCE CA 90504
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUDDLESTON, DENISE CUCITI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6237 Primary Status: Cancelled
Address :
756 W 7TH STREET
SAN PEDRO CA 90731
LOS ANGELES COUNTY



