California State Board of Optometry
Licensing details for: 7089
Name: COSTCO WHOLESALE # 483
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
650 GATEWAY CENTER DR
SAN DIEGO CA 92102
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: Kelsey, Tamara
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9009 Primary Status: Current
Address :
8609 Lake Murray Blvd
6
SAN DIEGO CA 92119-3282
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Dean, Michaela Jennifer
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9299 Primary Status: Current
Address :
650 Gateway Center Dr
SAN DIEGO CA 92102-4530
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SARSOZA, BERNALYN DE LOS SANTO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1869 Primary Status: Current
Address :
1130 Broadway
CHULA VISTA CA 91911-2707
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUNT, KRISTINA ELENNA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8089 Primary Status: Current
Address :
5625 Calle Sal Si Puedes
SAN DIEGO CA 92139-3515
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHIODI, ANDREW LOUIS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1463 Primary Status: Current
Address :
2852 Redwood St
SAN DIEGO CA 92104-4529
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PASCUAL, JEANETTE AQUINO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2022 Primary Status: Current
Address :
1371 Manzana Way
SAN DIEGO CA 92139-4047
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dean, Michaela Jennifer
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43625 Primary Status: Current
Address :
783 CHOLLA RD
CHULA VISTA CA 91910-6632
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PASCUAL, JEANETTE AQUINO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5891 Primary Status: Current
Address :
1371 Manzana Way
SAN DIEGO CA 92139-4047
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHIODI, ANDREW LOUIS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4657 Primary Status: Current
Address :
2852 Redwood St
SAN DIEGO CA 92104-4529
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, KRISTINA ELENNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40084 Primary Status: Current
Address :
5625 Calle Sal Si Puedes
SAN DIEGO CA 92139-3515
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BANAVI, KAHRAMAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40627 Primary Status: Cancelled
Address :
10174 Austin Dr Unit 2122
SPRING VALLEY CA 91979-7046
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kelsey, Tamara
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43069 Primary Status: Current
Address :
8609 Lake Murray Blvd Unit 6
SAN DIEGO CA 92119-2841
SAN DIEGO COUNTY



