California State Board of Optometry
Licensing details for: 7029
Name: COSTCO WHOLESALE # 781
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE
Address of Record
1130 BROADWAY
CHULA VISTA CA 91910
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: SOTELO, ANTHONY MEDINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1777 Primary Status: Current
Address :
1631 Banner Ave
CHULA VISTA CA 91911-5858
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GONZALEZ, ELSA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8019 Primary Status: Cancelled
Address :
710 E San Ysidro Blvd # 960
SAN YSIDRO CA 92173-3123
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VALENZUELA, VIOLETA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1778 Primary Status: Cancelled
Address :
826 ORANGE AVE #183
CORONADO CA 92118
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CERVANTES, VALENTINO E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2026 Primary Status: Cancelled
Address :
2819 E 11th St
NATIONAL CITY CA 91950-3908
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KING, LACEY D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7980 Primary Status: Cancelled
Address :
1065 Fresno St Apt 11
SAN DIEGO CA 92110-1743
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CORDOVA, APRIL RAIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2140 Primary Status: Cancelled
Address :
132 W CALLE PRIMERA #4
SAN YSIDRO CA 92173
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ-RENTERIA, MIRIAM SUSESTT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7997 Primary Status: Current
Address :
4492 Camino De La Plz # 1725
SAN YSIDRO CA 92173-3071
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: CERVANTES, VALENTINO E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6123 Primary Status: Cancelled
Address :
2819 E 11th St
NATIONAL CITY CA 91950-3908
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OJEDA, ADRIAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40444 Primary Status: Current
Address :
3153 Plantel Way
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SAN YSIDRO CA 92173-1222
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALMANZA VALLE, WENDI KATHERINE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41906 Primary Status: Current
Address :
3153 Plantel Way
SAN YSIDRO CA 92173-1222
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CORDOVA, APRIL RAIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6145 Primary Status: Cancelled
Address :
132 W CALLE PRIMERA #4
SAN YSIDRO CA 92173
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cardoza, Kayla R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42223 Primary Status: Current
Address :
1260 Amador Ave
VISTA CA 92083-5622
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ-RENTERIA, MIRIAM SUSESTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40095 Primary Status: Current
Address :
4492 Camino De La Plz Ste 1725
SAN YSIDRO CA 92173-3071
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VALENZUELA, VIOLETA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6513 Primary Status: Cancelled
Address :
1241 GONZALES WAY
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: GONZALEZ, ELSA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6717 Primary Status: Cancelled
Address :
710 E San Ysidro Blvd Apt 960
SAN YSIDRO CA 92173-3123
SAN DIEGO COUNTY
