California State Board of Optometry
Licensing details for: 6823
Name: COSTCO WHOLESALE #412
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1220 W FOOTHILL BLVD
AZUSA CA 91702
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: GUERRA, THOMAS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8067 Primary Status: Current
Address :
1571 Greystone Ct
SAN DIMAS CA 91773-3424
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Barrera, Andrea Judith
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8719 Primary Status: Current
Address :
1503 N Mariposa Ave
ONTARIO CA 91764-1512
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LARA, JORGE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8383 Primary Status: Current
Address :
18441 E Orkney St
AZUSA CA 91702-5935
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARMIENTO, TERESA ORDONEZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1404 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NGO, HELEN LIEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1082 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ONG, CORRIE THIEU
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2056 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sbeta, Abdulati
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8411 Primary Status: Current
Address :
1220 w foothill blvd
Optical Dept
Optical Dept
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CONTRERAS, EDWARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1275 Primary Status: Current
Address :
444 N AMELIA AVE
APT 6C
SAN DIMAS CA 91773-4501
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LARA, JORGE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41326 Primary Status: Current
Address :
18441 E Orkney St
AZUSA CA 91702-5935
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CONTRERAS, EDWARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4524 Primary Status: Current
Address :
444 N AMELIA AVE
APT 6C
SAN DIMAS CA 91773-4501
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGO, HELEN LIEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3114 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sbeta, Abdulati
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41411 Primary Status: Current
Address :
1220 W Foothill Blvd
Optical Dept
AZUSA CA 91702-2819
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ONG, CORRIE THIEU
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6230 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUERRA, THOMAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3221 Primary Status: Current
Address :
1571 Greystone Ct
SAN DIMAS CA 91773-3424
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SARMIENTO, TERESA ORDONEZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4000 Primary Status: Current
Address :
1220 W Foothill Blvd
AZUSA CA 91702-2819
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Barrera, Andrea Judith
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42463 Primary Status: Current
Address :
1503 N Mariposa Ave
ONTARIO CA 91764-1512
