California State Board of Optometry
Licensing details for: 6816
Name: COSTCO WHOLESALE #428
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2207 W COMMONWEALTH
ALHAMBRA CA 91803
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: ANDERSON, WYLMARYE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1602 Primary Status: Delinquent
Address :
662 ROYCE ST
ALTADENA CA 91001
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tamrowski, Van
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9016 Primary Status: Current
Address :
2207 W Commonwealth Ave
ALHAMBRA CA 91803-1302
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ramirez, Richard Eduardo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9053 Primary Status: Current
Address :
3929 e 1st st
5101
LOS ANGELES CA 90063
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BLANCO-RICO, ERIC JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2131 Primary Status: Current
Address :
4632 Fraijo Ave
IRWINDALE CA 91706-2126
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Luna-Carrillo, Eilene
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9318 Primary Status: Current
Address :
2207 W Commonwealth Ave
ALHAMBRA CA 91803-1302
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: McClellan, Elisabeth
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8314 Primary Status: Current
Address :
308 N Stoneman ave
B
ALHAMBRA CA 91801
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PADUA, MARTIN DANIEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8056 Primary Status: Current
Address :
4510 Maplewood Ave Apt 2
LOS ANGELES CA 90004-2665
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Mobijohn, William Marcellino
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8957 Primary Status: Current
Address :
960 S Oxford Ave
115
LOS ANGELES CA 90006-1164
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LUC, VIVIAN LY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8149 Primary Status: Current
Address :
9706 Loftus Dr
ROSEMEAD CA 91770-2138
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Luna-Carrillo, Eilene
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43858 Primary Status: Current
Address :
2207 W Commonwealth Ave
ALHAMBRA CA 91803-1302
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ramirez, Richard Eduardo
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43354 Primary Status: Current
Address :
3929 E 1st St
5101
LOS ANGELES CA 90063-3634
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tamrowski, Van
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43128 Primary Status: Current
Address :
2207 W Commonwealth Ave
ALHAMBRA CA 91803-1302
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LUC, VIVIAN LY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40461 Primary Status: Current
Address :
9706 Loftus Dr
ROSEMEAD CA 91770-2138
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BLANCO-RICO, ERIC JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6256 Primary Status: Current
Address :
4632 FRAIJO AVENUE
IRWINDALE CA 91706
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, MARTIN DANIEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40292 Primary Status: Current
Address :
4510 Maplewood Ave Apt 2
LOS ANGELES CA 90004-2665
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mobijohn, William Marcellino
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43096 Primary Status: Current
Address :
960 S Oxford Ave
115
LOS ANGELES CA 90006-1164
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: McClellan, Elisabeth
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41135 Primary Status: Current
Address :
308 n Stoneman ave
B
ALHAMBRA CA 91801
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANDERSON, WYLMARYE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5492 Primary Status: Delinquent
Address :
662 ROYCE ST
ALTADENA CA 91001
LOS ANGELES COUNTY



