California State Board of Optometry
Licensing details for: 6755
Name: COSTCO WHOLESALE #686
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
9404 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO 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: Trujillo, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8287 Primary Status: Current
Address :
2347 San Carlos DR
POMONA CA 91767-2657
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tsang, Sam
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8293 Primary Status: Current
Address :
15449 Tobarra Rd
FONTANA CA 92337-9059
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALAAN, RICHARD JOHN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1699 Primary Status: Current
Address :
8581 Founders Grove Street
CHINO CA 91708
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LEE, PAULA J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1443 Primary Status: Cancelled
Address :
6373 GRANT CT
CHINO CA 91710
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WICHLAC, LINDA SUE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1953 Primary Status: Delinquent
Address :
1264 NANCY COURT
UPLAND CA 91786
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORALES, ANTONIA H
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1768 Primary Status: Cancelled
Address :
203 N HAMBLEDON AVE
LA PUENTE CA 91744
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Vega, Jessica Michelle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8286 Primary Status: Current
Address :
22415 Kinross Ln
MORENO VALLEY CA 92557-6807
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROMAN, CINDY LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1477 Primary Status: Current
Address :
1725 S Granite Ave
ONTARIO CA 91762-5918
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aguilar, Krystel Jesset
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8333 Primary Status: Current
Address :
4692 Lookout Ct
REDDING CA 96001-4034
SHASTA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OBENA, ELENITA M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 562 Primary Status: Cancelled
Address :
6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aguilar, Krystel Jesset
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41210 Primary Status: Current
Address :
4692 Lookout Ct
REDDING CA 96001-4034
SHASTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Trujillo, Michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41047 Primary Status: Current
Address :
2347 San Carlos Dr
POMONA CA 91767
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALAAN, RICHARD JOHN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5165 Primary Status: Current
Address :
8581 Founders Grove St
CHINO CA 91708-8844
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WARREN, JANE E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1752 Primary Status: Delinquent
Address :
2001 E Ventura Blvd
OXNARD CA 93036-1813
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vega, Jessica Michelle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41046 Primary Status: Current
Address :
22415 Kinross Ln
MORENO VALLEY CA 92557-6807
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, ANTONIA H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5240 Primary Status: Cancelled
Address :
203 N HAMBLEDON AVE
LA PUENTE CA 91744
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEE, PAULA J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4456 Primary Status: Cancelled
Address :
6373 GRANT COURT
CHINO CA 91710
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, JORGE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4364 Primary Status: Current
Address :
1167 N Shooting Star dr
BEAUMONT CA 92223
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WICHLAC, LINDA SUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5818 Primary Status: Delinquent
Address :
1264 NANCY COURT
UPLAND CA 91786
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OBENA, ELENITA M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 535 Primary Status: Cancelled
Address :
6050 FAIRLANE AVE
CORONA CA 92880
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tsang, Sam
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41076 Primary Status: Current
Address :
15449 Tobarra Rd
FONTANA CA 92337-9059
SAN BERNARDINO COUNTY
