California State Board of Optometry
Licensing details for: 6849
Name: COSTCO WHOLESALE #690
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
27220 HEATHER RIDGE RD
LAGUNA NIGUEL CA 92677
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: SIRESS, TYLER HAYES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8593 Primary Status: Current
Address :
4786 Satin Bell Dr
CORONA CA 92878-9486
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DiDomenico, Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9285 Primary Status: Current
Address :
12 Cameray Hts
LAGUNA NIGUEL CA 92677-9240
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Blankenship, Rhegan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9212 Primary Status: Current
Address :
78 Seascape
LAGUNA NIGUEL CA 92677-5939
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GORELOVA, SVETLANA NIKOLAEVNA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1821 Primary Status: Current
Address :
6 Lomada St
RANCHO MISSION VIEJO CA 92694-1399
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sanchez, Graciela
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9254 Primary Status: Current
Address :
27220 Heather Ridge Rd
LAGUNA NIGUEL CA 92677-3418
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: YEH, EDWARD WEI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1578 Primary Status: Current
Address :
115 Technology Dr
IRVINE CA 92618-2408
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sicre, Norma
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8824 Primary Status: Current
Address :
2172 Swaim Way
TUSTIN CA 92782-2856
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WONG, GINA MY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1907 Primary Status: Cancelled
Address :
11356 Stonecress Ave
FOUNTAIN VALLEY CA 92708-2450
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sutherland, Ian
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9189 Primary Status: Current
Address :
606 Via Golondrina
SAN CLEMENTE CA 92673-5658
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SAVAGE, REBECCA JANINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1994 Primary Status: Current
Address :
7005 Sawgrass Ct
RIVERBANK CA 95367-3330
STANISLAUS COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: McCormick, Matthew Michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9157 Primary Status: Current
Address :
23412 Pacific Park Dr
Unit 33G
ALISO VIEJO CA 92656-5373
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUANG, HELEN HSI PING
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7977 Primary Status: Delinquent
Address :
31 FOXHILL
IRVINE CA 92604-3088
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DELACRUZ, RYAN CATANGHAL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2102 Primary Status: Current
Address :
26995 EL RETIRO
MISSION VIEJO CA 92692
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FRAENS, SHARON LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2023 Primary Status: Cancelled
Address :
26610 Ynez Rd
TEMECULA CA 92591-4697
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUANG, HELEN HSI PING
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40068 Primary Status: Delinquent
Address :
31 Foxhill
IRVINE CA 92604-3088
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: THOMPSON, WENDY EMIKO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5329 Primary Status: Cancelled
Address :
29 ALONDRA
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GORELOVA, SVETLANA NIKOLAEVNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5714 Primary Status: Current
Address :
6 Lomada St
RANCHO MISSION VIEJO CA 92694-1399
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JUAREZ, DAVID ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40423 Primary Status: Delinquent
Address :
25012 Hidden Hills Rd
Apt 20 J
LAGUNA NIGUEL CA 92677-2160
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kemph, Angela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41526 Primary Status: Delinquent
Address :
224 Calle Cuervo
SAN CLEMENTE CA 92672-2419
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRAENS, SHARON LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6075 Primary Status: Cancelled
Address :
26610 Ynez Rd
TEMECULA CA 92591-4697
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YEH, EDWARD WEI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2986 Primary Status: Current
Address :
115 Technology Dr
IRVINE CA 92618-2408
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KESTRAN, TERESA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4967 Primary Status: Cancelled
Address :
21 Francheshi Pl
ALISO VIEJO CA 92656-6259
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WONG, GINA MY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5928 Primary Status: Cancelled
Address :
9182 LA COLONIA AVENUE
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sicre, Norma
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42295 Primary Status: Current
Address :
2172 Swaim Way
TUSTIN CA 92782-2856
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DELACRUZ, RYAN CATANGHAL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5850 Primary Status: Current
Address :
26995 EL RETIRO
MISSION VIEJO CA 92692
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AMUNDSEN, CAROLYN Holmes
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42314 Primary Status: Current
Address :
27012 Floresta Ln
MISSION VIEJO CA 92691-5203
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Blankenship, Rhegan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43665 Primary Status: Current
Address :
78 Seascape
LAGUNA NIGUEL CA 92677-5939
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DIDOMENICO, MICHAEL Anthony
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43804 Primary Status: Current
Address :
12 Cameray Hts
LAGUNA NIGUEL CA 92677-9240
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SAVAGE, REBECCA JANINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6065 Primary Status: Current
Address :
7005 Sawgrass Ct
RIVERBANK CA 95367-3330
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NAVAS, MICHAEL EDWARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4777 Primary Status: Current
Address :
15 Mission Ct
FOOTHILL RANCH CA 92610-2477
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sanchez, Graciela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43734 Primary Status: Current
Address :
27220 Heather Ridge Rd
LAGUNA NIGUEL CA 92677-3418
