California State Board of Optometry
Licensing details for: 6853
Name: COSTCO WHOLESALE #462
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
951 PALOMAR AIRPORT RD
CARLSBAD CA 92009-1110
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: MEYERS, STEPHEN LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1723 Primary Status: Current
Address :
1846 Cathedral Gln
ESCONDIDO CA 92029-3029
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: POHLMAN, BRENDA LYN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1761 Primary Status: Cancelled
Address :
1120 PEPPER DR SPC 91
EL CAJON CA 92021
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MELENDEZ, MONICA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8164 Primary Status: Current
Address :
1755 Hacienda Dr
VISTA CA 92081-4546
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Antonio-Aguilar, Jorge
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8907 Primary Status: Current
Address :
951 Palomar Airport Rd
CARLSBAD CA 92011-1110
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Maynard, Joie Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8765 Primary Status: Current
Address :
31593 Calle De Las Estrellas
BONSALL CA 92003-3721
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUINEA, NADIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9150 Primary Status: Current
Address :
827 N Fig St.
C6
ESCONDIDO CA 92026
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PHILLIPS, DARRYL LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2051 Primary Status: Cancelled
Address :
980 ROBIN COURT
SAN MARCOS CA 92078
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Krommenhoek, Nan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8619 Primary Status: Current
Address :
2115 Crystal Cove Way
SAN MARCOS CA 92078-8400
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DEMERS, LORI ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1936 Primary Status: Current
Address :
2845 Vista Mariana
CARLSBAD CA 92009-7112
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MC CAMPBELL, MARK KELLY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8152 Primary Status: Current
Address :
3781 Portland Ct
CARLSBAD CA 92010-6555
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MUELLER, HOWARD ERNEST
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1714 Primary Status: Delinquent
Address :
145 POINTER LANE
VISTA CA 92084
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BRITT, MICHELLE ELAINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1935 Primary Status: Current
Address :
1275 Airport Park Blvd
UKIAH CA 95482-7400
MENDOCINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GARRETT, BRANDI N
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2054 Primary Status: Cancelled
Address :
4352 ARIZONA STREET #2
SAN DIEGO CA 92104
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Acuna, Janet C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8343 Primary Status: Current
Address :
3055 Roosevelt St
CARLSBAD CA 92008
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NASTASI, BROOKE ESPERANZA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1960 Primary Status: Current
Address :
24979 constitution
1512
STEVESON RANCH CA 91381
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Getz, Tessa Lynn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8554 Primary Status: Cancelled
Address :
PO Box 6397
OCEANSIDE CA 92052-6397
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cardoza, Kayla R
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8555 Primary Status: Current
Address :
1260 Amador Ave
VISTA CA 92083
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Bentley, Brandi dawn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8400 Primary Status: Current
Address :
3589 Keystone Cir
OCEANSIDE CA 92056-4926
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GORDON, CRAIG MICHAEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1687 Primary Status: Cancelled
Address :
1720 HAROLD RD
ESCONDIDO CA 92026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BRITT, MICHELLE ELAINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5973 Primary Status: Current
Address :
1275 Airport Park Blvd
UKIAH CA 95482-7400
MENDOCINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Getz, Tessa Lynn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41872 Primary Status: Cancelled
Address :
PO Box 6397
OCEANSIDE CA 92052-6397
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUINEA, NADIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43420 Primary Status: Current
Address :
827 N Fig St
C6
ESCONDIDO CA 92026-3233
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CUDA, BRENDA LYN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5026 Primary Status: Cancelled
Address :
1120 PEPPER DR SPC 91
EL CAJON CA 92021
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Acuna, Janet C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41147 Primary Status: Current
Address :
3055 Roosevelt St.
CARLSBAD CA 92008
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Krommenhoek, Nan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42190 Primary Status: Current
Address :
2115 Crystal Cove Way
SAN MARCOS CA 92078-8400
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GRANT, SHIRLYNN NICOLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5873 Primary Status: Current
Address :
951 Palomar Airport Rd
CARLSBAD CA 92011-1110
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MC CAMPBELL, MARK KELLY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40598 Primary Status: Current
Address Not Disclosed
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MUELLER, HOWARD ERNEST
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3761 Primary Status: Delinquent
Address :
145 Pointer Ln
VISTA CA 92084-5729
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bentley, Brandi dawn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41368 Primary Status: Current
Address :
3589 Keystone Cir
OCEANSIDE CA 92056-4926
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHILLIPS, DARRYL LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6216 Primary Status: Cancelled
Address :
980 ROBIN COURT
SAN MARCOS CA 92078
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NASTASI, BROOKE ESPERANZA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6016 Primary Status: Current
Address :
24979 constitution ave
#1512
STEVENSON RANCH CA 91381
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MELENDEZ, MONICA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40629 Primary Status: Current
Address :
1755 Hacienda Dr
VISTA CA 92081-4546
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WILLIAMS, MATTHEW SCOTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4885 Primary Status: Cancelled
Address :
83293 FAIRBANKS AVE
INDIO CA 92203
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GORDON, CRAIG MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4464 Primary Status: Cancelled
Address :
1720 HAROLD RD
ESCONDIDO CA 92026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DEMERS, LORI ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5855 Primary Status: Current
Address :
2845 Vista Mariana
CARLSBAD CA 92009-7112
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAGLIARENI, ROBYN LYLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3423 Primary Status: Current
Address :
35875 Warm Springs Pkwy
MURRIETA CA 92563-4538
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MEYERS, STEPHEN LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3587 Primary Status: Current
Address :
1846 Cathedral Gln
ESCONDIDO CA 92029-3029
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MELLO, LISA RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4900 Primary Status: Cancelled
Address :
1005 HAZEN DR
SAN MARCOS CA 92069
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARRETT, BRANDI N
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6225 Primary Status: Cancelled
Address :
4352 ARIZONA STREET # 2
SAN DIEGO CA 92104
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NELSON, MAUREEN E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1476 Primary Status: Cancelled
Address :
29334 BRANWIN CT
MURRIETA CA 92563
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHITE, LINDA JANE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4467 Primary Status: Cancelled
Address :
1333 OLIVE AVE SP 69
VISTA CA 92083
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Antonio-Aguilar, Jorge
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42770 Primary Status: Current
Address :
560 Arthur Ave
OCEANSIDE CA 92057-3701
SAN DIEGO COUNTY



