California State Board of Optometry
Licensing details for: 6833
Name: COSTCO WHOLESALE #445
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
22633 SAVI RANCH PKWY
YORBA LINDA CA 92887
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: Zazueta, Francisco
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8985 Primary Status: Current
Address :
1290 N Andrea Ln
ANAHEIM CA 92807-2406
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WHITE, CANDICE FAYE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1984 Primary Status: Delinquent
Address :
17877 Aloe Ln
RIVERSIDE CA 92503-7028
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STEELE, NICHOL ALEXANDRIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1884 Primary Status: Cancelled
Address :
5996 WINNCLIFF DRIVE
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Printz, Sean T
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8944 Primary Status: Current
Address :
8077 Branding Iron Ln
RIVERSIDE CA 92508-6612
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALANIZ, PATRICIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1701 Primary Status: Current
Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92886
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gallegos, Alpha Rosas
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9018 Primary Status: Current
Address :
22663 savi ranch pkwy
YORBA LINDA CA 92887
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TABORDA, GABRIEL ANDRES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1573 Primary Status: Current
Address :
1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NORTON, GEORGE L III
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2076 Primary Status: Current
Address :
15737 PEPPER STREET
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Zazueta, Francisco
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42889 Primary Status: Current
Address :
1290 N Andrea Ln
ANAHEIM CA 92807-2406
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ATKINSON, SUZANNE S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3789 Primary Status: Cancelled
Address :
131 S POPLAR AVE
BREA CA 92821
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YOUNG, JENNIFER LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5901 Primary Status: Cancelled
Address :
2416 POST OAK LANE
SACRAMENTO CA 95825
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PIERCE, MICHAEL STEPHEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40452 Primary Status: Current
Address :
1790 Wright Pl
UPLAND CA 91784-9282
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALANIZ, PATRICIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5621 Primary Status: Current
Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92886
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TABORDA, GABRIEL ANDRES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3955 Primary Status: Current
Address :
1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gallegos, Alpha Rosas
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42995 Primary Status: Current
Address :
2533 E Terrace St
b
ANAHEIM CA 92806-1654
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHITE, CANDICE FAYE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6056 Primary Status: Delinquent
Address :
17877 Aloe Ln
RIVERSIDE CA 92503-7028
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STEELE, NICHOL ALEXANDRIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4951 Primary Status: Cancelled
Address :
5996 WINNCLIFF DRIVE
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DOMINQUEZ, MICHAEL R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4017 Primary Status: Current
Address :
20347 Ivy Hill Ln
YORBA LINDA CA 92886-6623
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EUSOOF, ELIZABETH GOMEZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6069 Primary Status: Current
Address :
22366
Savi Ranch Parkway
YORBA LINDA CA 92887
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Daghlawi, May
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42336 Primary Status: Voluntary Surrendered
Address :
5484 Harmony Dr
EASTVALE CA 91752-3692
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BALSARA, BHUPENDRAKUMAR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5880 Primary Status: Cancelled
Address :
15783 ARDEN FOREST AVENUE
CHINO CA 91708
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NORTON, GEORGE L III
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5426 Primary Status: Current
Address :
15737 PEPPER ST
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
