California State Board of Optometry
Licensing details for: 6834
Name: COSTCO WHOLESALE #447
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
18649 VIA PRINCESSA
SANTA CLARITA CA 91351
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: BROCCOLO, JOHN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2250 Primary Status: Current
Address :
17950 Vanowen St
RESEDA CA 91335-5649
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WU, ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1923 Primary Status: Current
Address :
22008 KRISTIN LANE
SANTA CLARITA CA 91350
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Truex Colegrove, Cynthia Joy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9252 Primary Status: Current
Address :
1840 W Harding Way
STOCKTON CA 95203-1402
SAN JOAQUIN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BESCOS, STEPHANIE MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1897 Primary Status: Cancelled
Address :
28126 Windy Way
CASTAIC CA 91384-3037
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gomez, Jessica Noemi
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8899 Primary Status: Current
Address :
18649 Via Princessa
SANTA CLARITA CA 91387-4935
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORTES, JAZMIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8735 Primary Status: Current
Address :
23515 Lyons Ave Unit 161
VALENCIA CA 91355-3076
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WELLER, EDEN AMANDA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8134 Primary Status: Cancelled
Address :
17847 Stillmore St
CANYON COUNTRY CA 91387-3514
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FLORES, ANGELICA NICOLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8200 Primary Status: Cancelled
Address :
3664 Jasmine Ave
ROSAMOND CA 93560-7675
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANTOS, NICOLE DEBRA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8257 Primary Status: Delinquent
Address :
2311 Old Harold Rd Apt B170
PALMDALE CA 93550-7520
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cox, Tami
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8341 Primary Status: Current
Address :
23940 Whitfield Pl
VALENCIA CA 91354-2601
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Olvera, Belen
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9112 Primary Status: Current
Address :
3618 Mount Lassen Ave.
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Kinsey, McKhyden Drew
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9230 Primary Status: Current
Address :
1600 Expo Pkwy
SACRAMENTO CA 95815-4228
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VALENCIA, JOANNA ROSALIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8320 Primary Status: Current
Address :
28444 Santa Rosa Ln
SANTA CLARITA CA 91350-3248
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANDLER, SUSAN R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1570 Primary Status: Cancelled
Address :
40910 159TH ST E
LANCASTER CA 93535
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FUJIOKA, STEPHANIE LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1753 Primary Status: Current
Address :
11809 Cedar Bluff Ave
BAKERSFIELD CA 93312-6479
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HERNANDEZ, CYNTHEA DAWN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1673 Primary Status: Current
Address :
1337 W Lancaster Blvd
LANCASTER CA 93534-2253
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AGUILERA-CABRERA, GISSELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8037 Primary Status: Current
Address :
40128 BECKY LN
PALMDALE CA 93551
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: garcia-mendoza, omar moises
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9279 Primary Status: Current
Address :
13782 Filmore St
PACOIMA CA 91331-3501
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: garcia-mendoza, omar moises
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43730 Primary Status: Current
Address :
13782 Filmore St
PACOIMA CA 91331-3501
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Olvera, Belen
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43133 Primary Status: Current
Address :
3618 Mount Lassen Ave
ROSAMOND CA 93560-5903
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WELLER, EDEN AMANDA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40407 Primary Status: Cancelled
Address :
17847 Stillmore St
CANYON COUNTRY CA 91387-3514
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MULHOLLAND, DUKE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4483 Primary Status: Current
Address :
1153 Katey Ln
SIMI VALLEY CA 93063-4621
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Truex Colegrove, Cynthia Joy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43220 Primary Status: Current
Address :
1840 W Harding Way
STOCKTON CA 95203-1402
SAN JOAQUIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cox, Tami
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41221 Primary Status: Current
Address :
23940 Whitfield Pl
VALENCIA CA 91354-2601
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FLORES, ANGELICA NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40790 Primary Status: Cancelled
Address :
3664 Jasmine Ave
ROSAMOND CA 93560-7675
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANCHEZ, BRANDON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40141 Primary Status: Cancelled
Address :
40257 Castana Ln
PALMDALE CA 93551-4870
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, CYNTHEA DAWN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4422 Primary Status: Current
Address :
1337 W Lancaster Blvd
LANCASTER CA 93534-2253
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANDLER, SUSAN R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3286 Primary Status: Cancelled
Address :
40910 159TH ST EAST
LANCASTER CA 93535
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHINERY, MARIANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42221 Primary Status: Current
Address :
po box 856
PIRU CA 93040-0856
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BESCOS, STEPHANIE MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5903 Primary Status: Cancelled
Address :
28126 Windy Way
CASTAIC CA 91384-3037
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BROCCOLO, JOHN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6495 Primary Status: Current
Address :
17950 Vanowen St
RESEDA CA 91335-5649
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FUJIOKA, STEPHANIE LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4835 Primary Status: Current
Address :
11809 Cedar Bluff Ave
BAKERSFIELD CA 93312-6479
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESCAMILLA, SERGIO ENRIQUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40218 Primary Status: Cancelled
Address :
29052 Flowerpark Dr
CANYON COUNTRY CA 91387-4405
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WU, ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5803 Primary Status: Current
Address :
22008 Kristin Ln
SANTA CLARITA CA 91350-4305
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUILERA-CABRERA, GISSELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6721 Primary Status: Current
Address :
40128 BECKY LN
PALMDALE CA 93551
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gomez, Jessica Noemi
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42806 Primary Status: Current
Address :
19847 Terri Dr
CANYON COUNTRY CA 91351-4817
LOS ANGELES COUNTY



