California State Board of Optometry
Licensing details for: 6817
Name: COSTCO WHOLESALE #401
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
4605 MORENA BLVD
SAN DIEGO CA 92117
SAN DIEGO county
Map
License Relationships
OPT/RDO Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: VAL, MARIA ISABEL
License/Registration Type: Optometrist
License Number: 14099 Primary Status: Current
Address :
4605 Morena Blvd
SAN DIEGO CA 92117-3650
SAN DIEGO COUNTY
OPT/RDO Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: TANG, HELEN
License/Registration Type: Optometrist
License Number: 12953 Primary Status: Current
Address :
8950 Villa La Jolla Dr
Suite B128
LA JOLLA CA 92037-1714
SAN DIEGO COUNTY
OPT/RDO Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Kim, Solbee
License/Registration Type: Optometrist
License Number: 33928 Primary Status: Current
Address :
4605 Morena Blvd
SAN DIEGO CA 92117-3650
SAN DIEGO COUNTY
OPT/RDO Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Abbott, Christopher
License/Registration Type: Optometrist
License Number: 34812 Primary Status: Current
Address :
101 Town Center Pkwy
SANTEE CA 92071-5802
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RISTIGIAN, SUSAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1588 Primary Status: Current
Address :
3770 Grim Ave Apt 6
SAN DIEGO CA 92104-3645
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Zamudio, Victor Arturo II
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8628 Primary Status: Current
Address :
1360 Bakersfield St
LEMON GROVE CA 91945-4006
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DACUYCUY-SMITH, TRISHIA LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2013 Primary Status: Current
Address :
292 Bonita Canyon Dr
BONITA CA 91902-4282
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORDERO, ANGELICA ELENA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8927 Primary Status: Current
Address :
2020 Batchelder Ct
EL CAJON CA 92020-2803
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FAVILA, LIZABELLE UBANDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2192 Primary Status: Current
Address :
546 Trenton St
EL CAJON CA 92019-1025
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Murphy, Stephanie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8430 Primary Status: Current
Address :
3940 Caseman Ave
SAN DIEGO CA 92154-2507
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RISTIGIAN, SUSAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4704 Primary Status: Current
Address :
3770 Grim Ave Apt 6
SAN DIEGO CA 92104-3645
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CORDERO, ANGELICA ELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43033 Primary Status: Current
Address :
2020 Batchelder Ct
EL CAJON CA 92020-2803
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DACUYCUY-SMITH, TRISHIA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6099 Primary Status: Current
Address :
292 Bonita Canyon Dr
BONITA CA 91902-4282
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FAVILA, LIZABELLE UBANDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6170 Primary Status: Current
Address :
546 Trenton St
EL CAJON CA 92019-1025
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Murphy, Stephanie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41445 Primary Status: Current
Address :
3940 Caseman Ave
SAN DIEGO CA 92154-2507
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Zamudio, Victor Arturo II
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41281 Primary Status: Current
Address :
1360 Bakersfield St
LEMON GROVE CA 91945-4006
SAN DIEGO COUNTY
