California State Board of Optometry
Licensing details for: 6821
Name: COSTCO WHOLESALE #410
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE
Address of Record
12324 HOXIE AVE
NORWALK CA 90650
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: Yoo, Bo Mi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9085 Primary Status: Current
Address :
7270 8th Street
APT 50
BUENA PARK CA 90621
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FIELDS, LAMECCA ROMA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8700 Primary Status: Current
Address :
9201 Admiralty Ave
RIVERSIDE CA 92503
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Huitron, Ariel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8967 Primary Status: Current
Address :
1613 N Castlegate Ave
COMPTON CA 90221-1802
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: Ixta, Eric
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8794 Primary Status: Current
Address :
2603 W 132nd St
LOS ANGELES CA 90059-3414
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Montalvan, Pamela
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8868 Primary Status: Current
Address :
1401 S Westmoreland Avenue
Apt 3
LOS ANGELES CA 90006
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Morales, Moises Alejandro
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8997 Primary Status: Current
Address :
14702 Dartmoor Ave
NORWALK CA 90650-6016
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ODVINA, GERALD GONZALES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2191 Primary Status: Current
Address :
5738 Acacia Ln
LAKEWOOD CA 90712-1283
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FIELDS, LAMECCA ROMA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4966 Primary Status: Current
Address :
9201 Admiralty Ave
RIVERSIDE CA 92503-3348
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Montalvan, Pamela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42876 Primary Status: Current
Address :
1401 S Westmoreland Avenue
apt 3
LOS ANGELES CA 90006
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Huitron, Ariel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41155 Primary Status: Current
Address :
1613 N Castlegate Ave
COMPTON CA 90221-1802
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ODVINA, GERALD GONZALES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6163 Primary Status: Current
Address :
5738 Acacia Ln
LAKEWOOD CA 90712-1283
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Yoo, Bo Mi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43299 Primary Status: Current
Address :
12324 Hoxie Ave
NORWALK CA 90650-2211
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: morales, moises alejandro
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43182 Primary Status: Current
Address :
14702 Dartmoor Ave
NORWALK CA 90650-6016
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: Ixta, Eric
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42707 Primary Status: Current
Address :
2603 W 132nd St
LOS ANGELES CA 90059-3414
