California State Board of Optometry
Licensing details for: 6936
Name: COSTCO WHOLESALE #769
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3560 W CENTURY BLVD
INGLEWOOD CA 90303
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: SALCIDO, JACOB VINCE ELLIOT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8189 Primary Status: Cancelled
Address :
16220 Cornuta Ave Apt 42
BELLFLOWER CA 90706-8637
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COLMENARES, OSCAR L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1282 Primary Status: Cancelled
Address :
1147 EAST AVENUE K-12
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: Cruz, Noheli
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8587 Primary Status: Current
Address :
3560 W Century Blvd
INGLEWOOD CA 90303-1201
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MCKINNIE, TERRY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1786 Primary Status: Cancelled
Address :
718 S FIR AVE 3
INGLEWOOD CA 90301
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Ramirez Olmeda, Damarys Esmeralda
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8556 Primary Status: Current
Address :
10531 Dalerose Ave
INGLEWOOD CA 90304-1834
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAN, CYNTHIA A
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2259 Primary Status: Current
Address :
13522 Chadron Ave Apt 106
HAWTHORNE CA 90250-9233
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARAJAS, VALERIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8412 Primary Status: Current
Address :
1871 W 96th St
LOS ANGELES CA 90047-3726
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Arias, Carina
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9214 Primary Status: Current
Address :
3800 Rosedale Hwy
BAKERSFIELD CA 93308-6235
KERN COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COLMENERO, BRENDA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8327 Primary Status: Current
Address :
133 W 109th St
LOS ANGELES CA 90061-2005
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KRESCA, ANDREA REGINE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2266 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAN, CYNTHIA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6771 Primary Status: Current
Address :
13522 Chadron Ave Apt 106
HAWTHORNE CA 90250-9233
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COLMENARES, OSCAR L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4382 Primary Status: Cancelled
Address :
1147 EAST AVENUE K-12
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: KRESCA, ANDREA REGINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6742 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cruz, Noheli
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41683 Primary Status: Current
Address :
3560 W Century Blvd
INGLEWOOD CA 90303-1201
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COLMENERO, BRENDA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40859 Primary Status: Current
Address :
133 W 109th St
LOS ANGELES CA 90061-2005
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NICHOLAS, ANNIE CLARK
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2472 Primary Status: Cancelled
Address :
1908 W. 76TH STREET
LOS ANGELES CA 90047
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Arias, Carina
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43310 Primary Status: Current
Address :
3800 Rosedale Hwy
BAKERSFIELD CA 93308-6235
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SALCIDO, JACOB VINCE ELLIOT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40752 Primary Status: Cancelled
Address :
16220 Cornuta Ave Apt 42
BELLFLOWER CA 90706-8637
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARAJAS, VALERIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40517 Primary Status: Current
Address :
1871 W 96th St
LOS ANGELES CA 90047-3726
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BROWN-MOGIL, DENISE L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 968 Primary Status: Cancelled
Address :
7535 86TH AVE SE
SUITE 201
MERCER ISLAND WA 98040
KING COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ramirez Olmeda, Damarys Esmeralda
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41486 Primary Status: Current
Address :
10531 Dalerose Ave
INGLEWOOD CA 90304-1834
LOS ANGELES COUNTY



