California State Board of Optometry
Licensing details for: 6822
Name: COSTCO WHOLESALE #411
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
17900 NEW HOPE ST
FOUNTAIN VALLEY CA 92708
ORANGE 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: San Roman Jimenez, Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8817 Primary Status: Current
Address :
9122 Healey Dr
GARDEN GROVE CA 92841-3615
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chis, Luiza Theodora
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9183 Primary Status: Current
Address :
17065 San Ricardo St
FOUNTAIN VALLEY CA 92708-3818
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Castro, Christine Natividad
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8802 Primary Status: Current
Address :
2877 E 19th St
SIGNAL HILL CA 90755-1110
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Vega-Ruiz, Crystal Marie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9005 Primary Status: Current
Address :
2341 Canyon Park Dr
DIAMOND BAR CA 91765-2802
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ngo, landon
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9108 Primary Status: Current
Address :
14542 Benchley Cir
WESTMINSTER CA 92683-5824
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Olivares, Diana
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9110 Primary Status: Current
Address :
2124 S Parton St
SANTA ANA CA 92707-2623
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Grande, Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8816 Primary Status: Current
Address :
20238 Magnolia St
HUNTINGTON BEACH CA 92646-5246
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vega-Ruiz, Crystal Marie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43202 Primary Status: Current
Address :
2341 Canyon Park Dr
DIAMOND BAR CA 91765-2802
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ngo, landon
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43449 Primary Status: Current
Address :
14542 Benchley Cir
WESTMINSTER CA 92683-5824
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chis, Luiza Theodora
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43626 Primary Status: Current
Address :
17065 San Ricardo St
FOUNTAIN VALLEY CA 92708-3818
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: San Roman Jimenez, Maria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42758 Primary Status: Current
Address :
9122 Healey Dr
GARDEN GROVE CA 92841-3615
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Olivares, Diana
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43450 Primary Status: Current
Address :
2124 S Parton St
SANTA ANA CA 92707
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Castro, Christine Natividad
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42725 Primary Status: Current
Address :
2877 E 19th St
SIGNAL HILL CA 90755
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Grande, Maria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42759 Primary Status: Current
Address :
20238 Magnolia St
HUNTINGTON BEACH CA 92646-5246
