California State Board of Optometry
Licensing details for: 6827
Name: COSTCO WHOLESALE #416
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
725 CENTER DR
SAN MARCOS CA 92069
SAN DIEGO 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: GUZEL, HOLLY SHAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1929 Primary Status: Current
Address :
29523 PEBBLE BEACH DRIVE
MURRIETA CA 92563
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FERRIER, DANITA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1614 Primary Status: Cancelled
Address :
1428 INDEPENDENCE WAY
VISTA CA 92084
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DUNBAR, MICHAEL A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1073 Primary Status: Current
Address :
1018 Teal Way
OCEANSIDE CA 92057-1848
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RODGERS, ERICA MICHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1888 Primary Status: Current
Address :
690 Dane Dr
SAN MARCOS CA 92069-5826
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STA, MARIE T.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1754 Primary Status: Cancelled
Address :
27741 Bluff Vista Way
MENIFEE CA 92584-7873
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DUNBAR, MICHAEL A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3481 Primary Status: Current
Address :
1018 Teal Way
OCEANSIDE CA 92057-1848
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODGERS, ERICA MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5885 Primary Status: Current
Address :
690 Dane Dr
SAN MARCOS CA 92069-5826
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STA, MARIE T.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4163 Primary Status: Cancelled
Address :
27741 Bluff Vista Way
MENIFEE CA 92584-7873
RIVERSIDE COUNTY



