California State Board of Optometry
Licensing details for: 6455
Name: COSTCO WHOLESALE #479
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
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: CALAUSTRO, BENNY CAPULE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1337 Primary Status: Cancelled
Address :
335 PATTON STREET
LOS ANGELES CA 90026
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LOVE, LEONTYNE EUNICE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8546 Primary Status: Current
Address :
468 N Camden Dr
Suite 200
BEVERLY HILLS CA 90210-4507
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: alvarado, mario
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9294 Primary Status: Current
Address :
1334 W Hill St
LONG BEACH CA 90810-3545
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Portillo, Karen
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9145 Primary Status: Current
Address :
4308 Lima St
LOS ANGELES CA 90011-3821
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Merlos, Kevin Brayar
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9239 Primary Status: Current
Address :
939 E 67th st
INGLEWOOD CA 90302-1757
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gipson, Jasmin Nicole
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9265 Primary Status: Current
Address :
11033 ardath ave
INGLEWOOD CA 90303
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hernandez, Luis A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8499 Primary Status: Current
Address :
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SERRANO, GRESIA ELDINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1871 Primary Status: Current
Address :
1008 Lord St
LOS ANGELES CA 90033-1314
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CLIPNER, GEORGE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 714 Primary Status: Cancelled
Address :
3741 S BENTLEY AVE # 3
LOS ANGELES CA 90034
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VELASQUEZ, ALEJANDRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2271 Primary Status: Current
Address :
6322 6th Ave
LOS ANGELES CA 90043-4256
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: perez, Victoria rosa
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9147 Primary Status: Current
Address :
325 W Buckthorn St
INGLEWOOD CA 90301-3221
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ESCOBAR, RAISA MINERVA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8336 Primary Status: Current
Address :
2000 Market Place Dr
MONTEREY PARK CA 91755-7402
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Santellan, Jose Omar
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9143 Primary Status: Current
Address :
4527 W 165th St
LAWNDALE CA 90260-2806
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GAYLES, TUESDAY COLETTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8495 Primary Status: Current
Address :
8942 S Wilton Pl
LOS ANGELES CA 90047-3514
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VAZQUEZ, SALVADOR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2041 Primary Status: Cancelled
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: FERNANDEZ, MIRIAN G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1877 Primary Status: Cancelled
Address :
2915 S Ridgeley Dr
LOS ANGELES CA 90016-3717
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ZORRILLA, EMELY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2324 Primary Status: Cancelled
Address :
209 Penn St
Apt. 3
EL SEGUNDO CA 90245-3911
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OCON, LESLIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8181 Primary Status: Cancelled
Address :
334 E 82nd St
LOS ANGELES CA 90003-3020
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KIRKWOOD, KATIE LEIGH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2295 Primary Status: Cancelled
Address :
11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIMBERLING, KATIE LEIGH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5348 Primary Status: Cancelled
Address :
3538 JASMINE AVE #2
LOS ANGELES CA 90034
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERNANDEZ, MIRIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6042 Primary Status: Cancelled
Address :
2915 S Ridgeley Dr
LOS ANGELES CA 90016-3717
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ZORRILLA, EMELY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42302 Primary Status: Delinquent
Address :
209 Penn street
APT.3
EL SEGUNDO CA 90245
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CLIPNER, GEORGE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1504 Primary Status: Cancelled
Address :
3741 S BENTLEY AVE # 3
LOS ANGELES CA 90034
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHALING, BRITTNEY D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41663 Primary Status: Current
Address :
4635 Brynhurst Ave
VIEW PARK CA 90043-1205
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIRKWOOD, KATIE LEIGH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6808 Primary Status: Cancelled
Address :
11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CALAUSTRO, BENNY CAPULE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4970 Primary Status: Cancelled
Address :
FRAME AND LENS SAVINGS PLAN
1925 W TEMPLE ST STE 105
LOS ANGELES CA 90026
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESCOBAR, RAISA MINERVA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41487 Primary Status: Current
Address :
460 N Chester Ave
PASADENA CA 91106-1115
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DUNNE, MICHAEL F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4236 Primary Status: Cancelled
Address :
4326 HEATHER ROAD
LONG BEACH CA 90808
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FISHKIND, ELIZABETH R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5755 Primary Status: Cancelled
Address :
13100 MAXELLA AVE #19
MARINA DEL REY CA 90292
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gipson, Jasmin Nicole
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43751 Primary Status: Current
Address :
11033 Ardath Ave
INGLEWOOD CA 90303-2406
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: perez, Victoria rosa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43539 Primary Status: Current
Address :
325 W Buckthorn St
INGLEWOOD CA 90301-3221
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OCON, LESLIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40713 Primary Status: Cancelled
Address :
334 E 82nd St
LOS ANGELES CA 90003-3020
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VAZQUEZ, SALVADOR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5853 Primary Status: Cancelled
Address :
2200 E Willow St
SIGNAL HILL CA 90755-2132
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: alvarado, mario
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43816 Primary Status: Current
Address :
1334 W Hill St
LONG BEACH CA 90810-3545
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Merlos, Kevin Brayar
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43709 Primary Status: Current
Address :
939 E 67th St
INGLEWOOD CA 90302-1757
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Santellan, Jose Omar
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43533 Primary Status: Current
Address :
4527 W 165th St
LAWNDALE CA 90260-2806
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GAYLES, TUESDAY COLETTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41483 Primary Status: Current
Address :
8942 S Wilton Pl
LOS ANGELES CA 90047-3514
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RABURN, JOHN M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3007 Primary Status: Cancelled
Address :
6784 SAN ALTO DR
BUENA PARK CA 90620
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SERRANO, GRESIA ELDINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5848 Primary Status: Current
Address :
1008 Lord St
LOS ANGELES CA 90033-1314
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hernandez, Luis A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41648 Primary Status: Current
Address :
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VELASQUEZ, ALEJANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6756 Primary Status: Current
Address :
6322 6th Ave
LOS ANGELES CA 90043-4256
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERNANDEZ, HELEN JANETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5043 Primary Status: Current
Address :
2111 Vanderbilt Ln
Apt E
REDONDO BEACH CA 90278-3040
LOS ANGELES COUNTY
