California State Board of Optometry
Licensing details for: 70705
Name: COSTCO WHOLESALE #1202
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2640 Lomita Blvd
TORRANCE CA 90505-5214
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: Bonilla, Martha Natividad
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8484 Primary Status: Current
Address :
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAKATA, MICHAEL S
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1973 Primary Status: Current
Address :
16608 Van Ness Ave
TORRANCE CA 90504-2239
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Moya, Christopher Randall
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9078 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gutierrez, Spencer Louis
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8915 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: De La Herran Villarreal, Alicia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9307 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Shelton, Vince M.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8547 Primary Status: Current
Address :
108 S Irena Ave
Unit E
REDONDO BEACH CA 90277-3465
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2148 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Castillo, Michael Richard
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9069 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Seislove, Karen Lizeth
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8791 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AREVALO, NANCY MARISOL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8334 Primary Status: Current
Address :
729 W 16th St
SAN PEDRO CA 90731-4609
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FEHR, DEBORAH LISA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1967 Primary Status: Current
Address :
3138 Newton St Apt F207
TORRANCE CA 90505-6725
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Kalmar, Brent Masaki
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9008 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Romero, Abigail
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8790 Primary Status: Current
Address :
11918 Elva Ave
LOS ANGELES CA 90059-2811
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kalmar, Brent Masaki
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43219 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: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6497 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: AREVALO, NANCY MARISOL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41212 Primary Status: Current
Address :
729 W 16th St
SAN PEDRO CA 90731-4609
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gutierrez, Spencer Louis
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42996 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: De La Herran Villarreal, Alicia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43838 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FEHR, DEBORAH LISA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5783 Primary Status: Current
Address :
3138 Newton St Apt F207
TORRANCE CA 90505-6725
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Castillo, Michael Richard
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43373 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: Bonilla, Martha Natividad
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41584 Primary Status: Current
Address :
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Romero, Abigail
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42687 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: TAKATA, MICHAEL S
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5828 Primary Status: Current
Address :
23234 SESAME STREET # D
TORRANCE CA 90502
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Shelton, Vince M.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41840 Primary Status: Current
Address :
108 S Irena Ave
Unit E
Unit E
REDONDO BEACH CA 90277-3465
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Moya, Christopher Randall
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43052 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY



