California State Board of Optometry
Licensing details for: 6841
Name: COSTCO WHOLESALE #460
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
895 E H St
CHULA VISTA CA 91910-7807
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: Valencia, Nataly
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9328 Primary Status: Current
Address :
1329 Village Ct
SIMI VALLEY CA 93065-4313
VENTURA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: REYES, ANITA LOUISE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1928 Primary Status: Current
Address :
5625 Calle Sal Si Puedes
SAN DIEGO CA 92139-3515
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LERMA, CHRISTOPHER MICHAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8009 Primary Status: Current
Address :
895 E H St
Costco Optical #460
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STATEN, KINDRA D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8529 Primary Status: Current
Address :
895 E H St
Attn: Optical Dept Kindra Staten
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Posner, Mathew Alexander
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8406 Primary Status: Current
Address :
3513 Fairlomas Rd
NATIONAL CITY CA 91950-8215
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rodriguez, Richard Domingo
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9094 Primary Status: Current
Address :
1297 Nacion Ave
CHULA VISTA CA 91911-3703
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: OJEDA, ADRIAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8674 Primary Status: Current
Address :
3153 Plantel Way
SAN YSIDRO CA 92173-1222
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GREENLAW, DOROTHY MAE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1576 Primary Status: Cancelled
Address :
226 BEECH AVE
CHULA VISTA CA 91910
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUILLORY, VICTORIA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1552 Primary Status: Delinquent
Address :
2747 BARBOUR DR
SAN DIEGO CA 92154
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ABIDES, JOHN RYAN GUTIERREZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2311 Primary Status: Cancelled
Address :
443 COLORADO AVENUE APT C
CHULA VISTA CA 91910
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Steinman, Christopher August
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9310 Primary Status: Current
Address :
895 E H St
Costco Optical
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARTHA, JIRIES S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2155 Primary Status: Current
Address :
895 E H St
Optical Dept.
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Posner, Mathew Alexander
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41205 Primary Status: Current
Address :
3513 Fairlomas Rd
NATIONAL CITY CA 91950-8215
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cuellar, Mariela Guadalupe
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43870 Primary Status: Current
Address :
895 E H St
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, ANITA LOUISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3887 Primary Status: Current
Address :
5625 CALLE SAL SI PUEDES
SAN DIEGO CA 92139
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUILLORY, VICTORIA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4536 Primary Status: Delinquent
Address :
2747 BARBOUR DR
SAN DIEGO CA 92154
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LERMA, CHRISTOPHER MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6558 Primary Status: Current
Address :
895 E H St
Costco Optical #460
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: QUEVEDO, ARNOLD ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4051 Primary Status: Cancelled
Address :
885 ALBERT COURT
ESCONDIDO CA 92027
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARTHA, JIRIES S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6353 Primary Status: Current
Address :
895 E H St
Optical Dept.
CHULA VISTA CA 91910-7807
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ABIDES, JOHN RYAN GUTIERREZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6766 Primary Status: Cancelled
Address :
443 COLORADO AVENUE APT # C
CHULA VISTA CA 91910
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Steinman, Christopher August
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43115 Primary Status: Current
Address :
2208 Caminito Livorno
Unit 2
CHULA VISTA CA 91915-4193
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Valencia, Nataly
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43905 Primary Status: Current
Address :
1329 Village Ct
SIMI VALLEY CA 93065-4313
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JIMISON, LORRAINE P
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3701 Primary Status: Delinquent
Address :
PO Box 740671
SAN DIEGO CA 92174-0671
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOTELO, ANTHONY M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3861 Primary Status: Current
Address :
1631 Banner Ave
CHULA VISTA CA 91911-5858
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOHNSON, GAIL E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 559 Primary Status: Cancelled
Address :
P O BOX 6471
CHULA VISTA CA 91909
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rodriguez, Richard Domingo
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43083 Primary Status: Current
Address :
1297 Nacion Ave
CHULA VISTA CA 91911-3703
SAN DIEGO COUNTY



