California State Board of Optometry
Licensing details for: 6831
Name: COSTCO WHOLESALE #429
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
33961 DOHENY PARK RD
SAN JUAN CAPISTRANO CA 92675
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: Connor, Alison Carin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9186 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Jarvis, Corey
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8558 Primary Status: Current
Address :
26951 Calle Verano
CAPISTRANO BEACH CA 92624-1623
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Banks, Evan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9205 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aranda, Nicole Karen
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8749 Primary Status: Current
Address :
28241 Foxwood
MISSION VIEJO CA 92692-4200
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERTZLER, ADELA JOYCE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1826 Primary Status: Current
Address :
621 Via Umbroso
SAN CLEMENTE CA 92672-6014
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Calvo, Luz Candelaria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8603 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SIMONE, HEIDI ANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8139 Primary Status: Current
Address :
26422 Via Marina
MISSION VIEJO CA 92691-5620
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: McDonald, Karen Lynn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8887 Primary Status: Current
Address :
25471 Charro Dr
SAN JUAN CAPISTRANO CA 92675-4304
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIMONE, HEIDI ANNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40556 Primary Status: Current
Address :
26422 Via Marina
MISSION VIEJO CA 92691-5620
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: McDonald, Karen Lynn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42930 Primary Status: Current
Address :
25471 Charro Dr
SAN JUAN CAPISTRANO CA 92675-4304
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Jarvis, Corey
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41878 Primary Status: Current
Address :
26951 Calle Verano
CAPISTRANO BEACH CA 92624-1623
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERTZLER, ADELA JOYCE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5784 Primary Status: Current
Address :
621 Via Umbroso
SAN CLEMENTE CA 92672-6014
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aranda, Nicole Karen
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42561 Primary Status: Current
Address :
28241 Foxwood
MISSION VIEJO CA 92692-4200
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Calvo, Luz Candelaria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41637 Primary Status: Current
Address :
33691 doheny park rd
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Banks, Evan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43656 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Connor, Alison Carin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43623 Primary Status: Current
Address :
33961 Doheny Park Rd
SAN JUAN CAPISTRANO CA 92675-4835
ORANGE COUNTY



