California State Board of Optometry
Licensing details for: 6760
Name: COSTCO WHOLESALE #677
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1051 BURBANK BLVD
BURBANK CA 91506
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: PADUA, ALICIA P
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1692 Primary Status: Cancelled
Address :
234 S. GALE DRIVE # 207
BEVERLY HILLS CA 90211
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARY, SEYMORE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8454 Primary Status: Current
Address :
1051 W. Burbank Blvd
BURBANK CA 91506-1421
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Melkonian, Alber
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8609 Primary Status: Cancelled
Address :
1051 W BURBANK BLVD
BURBANK CA 91506-1421
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VUENFIL, ERICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9295 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ARAI, GLENN Y
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1212 Primary Status: Delinquent
Address :
1630 NORTH AVE 54
LOS ANGELES CA 90042
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Dy, Arnold
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8431 Primary Status: Current
Address :
1051 w Burbank blvd
BURBANK CA 91506
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VILLARREAL, CYNTHIA DENISE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8199 Primary Status: Cancelled
Address :
37612 16th St. East
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BUSLON, HAMILCAR R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8075 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARY, SEYMORE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2016 Primary Status: Cancelled
Address :
21030 GRESHAM STREET # 602
CANOGA PARK CA 91304-1726
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TANTOCO, LORENZO G
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1942 Primary Status: Cancelled
Address :
410 S SIERRA MADRE BLVD # 20
PASADENA CA 91107
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FRIAS, SALVADOR
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2277 Primary Status: Current
Address :
620 E CYPRESS AVENUE APT D
BURBANK CA 91501
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OSTLY, MARY M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1611 Primary Status: Current
Address :
18507 KINGSBURY ST
NORTHRIDGE CA 91326
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, RAQUEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2288 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MENDEZ, RONALD C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1800 Primary Status: Cancelled
Address :
8731 TOBIAS ST #6
PANORAMA CITY CA 91402
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCKEIGHAN, ARACELI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9055 Primary Status: Current
Address :
1845 N Evergreen St
BURBANK CA 91505-1410
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ARDON, JORGE A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 696 Primary Status: Cancelled
Address :
18554 COLLINS ST #103-B
TARZANA CA 91356
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARMIENTO, TERESA ORDONEZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1404 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: MELKONIAN, ALBER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41478 Primary Status: Delinquent
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OSTLY, MARY M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5313 Primary Status: Current
Address :
18507 KINGSBURY ST
NORTHRIDGE CA 91326
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PERAZA, CRISTINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40082 Primary Status: Cancelled
Address :
1637 N Naomi St
BURBANK CA 91505-1611
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENDEZ, RONALD C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5614 Primary Status: Cancelled
Address :
8731 TOBIAS ST # 6
PANORAMA CITY CA 91402
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SARY, SEYMORE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4295 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VILLARREAL, CYNTHIA DENISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40788 Primary Status: Cancelled
Address :
37612 16th St East
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BUSLON, HAMILCAR R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40351 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VILLEGAS, RUBEN J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5660 Primary Status: Cancelled
Address :
2907 W RIVERSIDE DR
BURBANK CA 91505
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SRISIANGBOON, JILLIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6791 Primary Status: Cancelled
Address :
3441 ARROYO SECO AVENUE
LOS ANGELES CA 90065
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: D'ACHIARDI, OLGA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4404 Primary Status: Cancelled
Address :
36862 CALABAR CT
PALMDALE CA 93550
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dy, Arnold
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41450 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRIAS, SALVADOR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5980 Primary Status: Current
Address :
620 E CYPRESS AVENUE #D
BURBANK CA 91501
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, RAQUEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6098 Primary Status: Current
Address :
1051 w burbank blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARAI, GLENN Y
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1362 Primary Status: Delinquent
Address :
1630 NORTH AVE #54
LOS ANGELES CA 90042
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MCKEIGHAN, ARACELI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43336 Primary Status: Current
Address :
1845 N Evergreen St
BURBANK CA 91505-1410
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PADUA, ALICIA P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1297 Primary Status: Cancelled
Address :
234 S GALE DR #207
BEVERLY HILLS CA 90211
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TANTOCO, LORENZO G
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5694 Primary Status: Cancelled
Address :
410 S SIERRA MADRE BLVD # 20
PASADENA CA 91107
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARDON, JORGE A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1932 Primary Status: Cancelled
Address :
18554 COLLINS ST. #103-B
TARZANA CA 91356
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VUENFIL, ERICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43536 Primary Status: Current
Address :
1051 W Burbank Blvd
BURBANK CA 91506-1421
LOS ANGELES COUNTY
