California State Board of Optometry
Licensing details for: 6839
Name: COSTCO WHOLESALE #455
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
12700 DAY ST
MORENO VALLEY CA 92553
RIVERSIDE 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: Mendoza, Gabriela
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8932 Primary Status: Current
Address :
26398 Bay Ave
MORENO VALLEY CA 92555-2528
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARIN, MARIA FELIX
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1930 Primary Status: Current
Address :
24585 Elmendorf Dr
MORENO VALLEY CA 92551-4012
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Montalvo, Valinda Mary
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1581 Primary Status: Current
Address :
1099 E HOSPITALITY LANE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARRANZA, SARA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9248 Primary Status: Current
Address :
26559 Calle Celia
MENIFEE CA 92585-9378
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Moniz, Tracy
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8436 Primary Status: Delinquent
Address :
29101 Springshores Dr
MENIFEE CA 92585
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BECKLES, CHAUNCEY A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1836 Primary Status: Current
Address :
15610 Rio Blanco Trl
MORENO VALLEY CA 92555-4964
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: JACKSON, NATALIE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1346 Primary Status: Cancelled
Address :
8590 DUFFERIN AVE
RIVERSIDE CA 92504
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Montalvo, Valinda Mary
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4901 Primary Status: Current
Address :
1099 E HOSPITALITY LANE
SAN BERNARDINO CA 92408
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MANNING, KELLI NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40266 Primary Status: Cancelled
Address :
11711 Collett Ave Apt 617
RIVERSIDE CA 92505-3772
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mendoza, Gabriela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43044 Primary Status: Current
Address :
26398 Bay Ave
MORENO VALLEY CA 92555-2528
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Moniz, Tracy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41467 Primary Status: Delinquent
Address :
29101 Springshores Dr
MENIFEE CA 92585
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VELA, CAROLYN J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4197 Primary Status: Cancelled
Address :
PO BOX 3184
RUNNING SPRINGS CA 92382
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARRANZA, SARA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43728 Primary Status: Current
Address :
26559 Calle Celia
MENIFEE CA 92585-9378
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JACKSON, NATALIE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4990 Primary Status: Cancelled
Address :
8590 DUFFERIN AVE
RIVERSIDE CA 92504
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARIN, MARIA FELIX
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5957 Primary Status: Current
Address :
24585 Elmendorf Dr
MORENO VALLEY CA 92551-4012
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BECKLES, CHAUNCEY A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5795 Primary Status: Current
Address :
15610 Rio Blanco Trl
MORENO VALLEY CA 92555-4964
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COOK, SANDRA GAYE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3034 Primary Status: Cancelled
Address :
26610 Ynez Rd
TEMECULA CA 92591-4697
RIVERSIDE COUNTY
