California State Board of Optometry
Licensing details for: 6757
Name: COSTCO WHOLESALE #679
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
17550 CASTLETON ST
CITY OF INDUSTRY CA 91748
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: ARROYOS, CLAUDIA LIZETH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8209 Primary Status: Current
Address :
9404 Central Ave
Optical
MONTCLAIR CA 91763-2421
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MEJIA, MIGUEL ANGEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1428 Primary Status: Cancelled
Address :
15920 Pomona Rincon Rd
7502
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ramon Torres, Erika Ruby
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9091 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AYALA, SANTOS ALEJO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1885 Primary Status: Current
Address :
7927 Standish Ave
JURUPA VALLEY CA 92509-5238
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HENG, LEANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1302 Primary Status: Cancelled
Address :
28691 VIA LAS FLORES #323
MURRIETA CA 92563
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rivera, Christina
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9084 Primary Status: Current
Address :
465 Kenoak Pl
POMONA CA 91768-1945
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Kwack, David
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8940 Primary Status: Current
Address :
16510 Dundee Ct Unit 87
LA MIRADA CA 90638-6258
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Contreras, Regina Michele
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8582 Primary Status: Current
Address :
444 N. Amelia Ave.
6C
SAN DIMAS CA 91773
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Saldana, Christian
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8912 Primary Status: Current
Address :
19835 Squire Dr
COVINA CA 91724-3458
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ONG, CORRIE THIEU
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2056 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Middleton, Lucretia Giselle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8660 Primary Status: Delinquent
Address :
955 S Highland Ave
LOS ANGELES CA 90036-4985
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: valdenegro, patricia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8442 Primary Status: Current
Address :
17550 castleton st
CITY OF INDUSTRY CA 91748
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MERCADO, ESTHER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1941 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MERCADO, ESTHER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40282 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Contreras, Regina Michele
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42007 Primary Status: Current
Address :
444 N. Amelia Ave.
6C
SAN DIMAS CA 91773
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rivera, Christina
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43312 Primary Status: Current
Address :
465 Kenoak Pl
POMONA CA 91768-1945
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: valdenegro, patricia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41361 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HENG, LEANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4714 Primary Status: Cancelled
Address :
28691 MIA LAS FLORES #323
MURRIETA CA 92563
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ramon Torres, Erika Ruby
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43246 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, ROMMEL ROBERTO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4388 Primary Status: Current
Address :
8701 SAN ANTONIO DRIVE
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: Middleton, Lucretia Giselle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42321 Primary Status: Delinquent
Address :
955 S Highland Ave
LOS ANGELES CA 90036-4985
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHEN, CHUN MEI HONG
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5468 Primary Status: Cancelled
Address :
840 S SIERRA VISTA AVE C
ALHAMBRA CA 91801-4529
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kwack, David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42908 Primary Status: Current
Address :
16510 Dundee Ct
Unit 87
LA MIRADA CA 90638-6260
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ONG, CORRIE THIEU
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6230 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Khine, Hnin Kay
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43827 Primary Status: Current
Address :
17550 Castleton St
CITY OF INDUSTRY CA 91748-1701
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARROYOS, CLAUDIA LIZETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40421 Primary Status: Current
Address :
9404 Central Ave
MONTCLAIR CA 91763-2421
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Saldana, Christian
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42851 Primary Status: Current
Address :
19835 Squire Dr
COVINA CA 91724-3458
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEJIA, MIGUEL ANGEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4318 Primary Status: Cancelled
Address :
15920 Pomona Rincon Rd
7502
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AYALA, SANTOS ALEJO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5875 Primary Status: Current
Address :
7927 Standish Ave
JURUPA VALLEY CA 92509-5238
RIVERSIDE COUNTY



