California State Board of Optometry
Licensing details for: 6819
Name: COSTCO WHOLESALE #405
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled
Address of Record
1144 BROADWAY
CHULA VISTA CA 91911
SAN DIEGO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOTELO, ANTHONY M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3861 Primary Status: Current
Address :
1631 Banner Ave
CHULA VISTA CA 91911-5858
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VALENZUELA, VIOLETA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4743 Primary Status: Cancelled
Address :
3604 BEYER BLVD
APT 2-107
SAN YSIDRO CA 92173
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, MARCO ANTONIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4183 Primary Status: Cancelled
Address :
482 W SAN YSIDRO BLVD # 2627
SAN YSIDRO CA 92173
SAN DIEGO COUNTY
