California State Board of Optometry
Licensing details for: 70894
Name: Costco Wholesale Corporation
Doing Business As: Costco Wholesale #1317
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
5030 Hamner Ave
EASTVALE CA 91752
RIVERSIDE 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: Contreras, Mayra Stephanie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9168 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752-1009
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cervantes, Steven
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8867 Primary Status: Delinquent
Address :
8205 Catawba Ave
FONTANA CA 92335-3204
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Patel, Nishaben Dipakbhai
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8919 Primary Status: Current
Address :
17978 Tangerine Way
RIVERSIDE CA 92503-7079
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: bishop-richardson, pennie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8518 Primary Status: Current
Address :
8200 haven ave
7106
RANCHO CUCAMONGA CA 91730-8954
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VALDEZ, SAMANTHA MICHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9244 Primary Status: Current
Address :
12723 Oakdale St
EASTVALE CA 92880-7210
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hermosillo, Erin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8571 Primary Status: Current
Address :
4754 S Jasmine Ln
ONTARIO CA 91762-7314
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Deer, Juliana
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9164 Primary Status: Current
Address :
6567 Angel Camp Ct
EASTVALE CA 92880-3283
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARLO, ANNA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8275 Primary Status: Current
Address :
10655 Lemon Ave Apt 1203
RANCHO CUCAMONGA CA 91737-6958
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Villalobos, Abigail
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9100 Primary Status: Current
Address :
2848 N F St
SAN BERNARDINO CA 92405-3346
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Koepsell, Priscilla Kay
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8394 Primary Status: Cancelled
Address :
7550 Desert Holly St.
921
CHINO CA 91708
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: spann, melanie ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8766 Primary Status: Current
Address :
448 Brittany Dr
CORONA CA 92879-6107
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Atkinson, Arlene Evelyn
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9181 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752-1009
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hsia, Fanney ZY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9072 Primary Status: Current
Address :
17873 Autry Ct
CHINO HILLS CA 91709-3204
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VALDEZ, SAMANTHA MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42631 Primary Status: Current
Address :
12723 Oakdale St
EASTVALE CA 92880-7210
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Deer, Juliana
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43286 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752-1009
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Koepsell, Priscilla Kay
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41356 Primary Status: Cancelled
Address :
7550 Desert Holly St
921
CHINO CA 91708-9380
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hermosillo, Erin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41797 Primary Status: Current
Address :
4754 S Jasmine Ln
ONTARIO CA 91762-7314
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Atkinson, Arlene Evelyn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43353 Primary Status: Current
Address :
6849 Earp Way
FONTANA CA 92336-5219
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tamrowski, Van
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43128 Primary Status: Current
Address :
2207 W Commonwealth Ave
ALHAMBRA CA 91803-1302
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Contreras, Mayra Stephanie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43279 Primary Status: Current
Address :
5030 Hamner Ave
EASTVALE CA 91752-1009
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: spann, melanie ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42339 Primary Status: Delinquent
Address :
15730 Turnberry St
MORENO VALLEY CA 92555-4903
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Villalobos, Abigail
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42917 Primary Status: Current
Address :
2848 N F St
SAN BERNARDINO CA 92405-3346
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORENO, LESLIE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42100 Primary Status: Cancelled
Address :
13125 Concord Dr
VICTORVILLE CA 92392-8783
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARLO, ANNA MARIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5373 Primary Status: Current
Address :
10655 Lemon Ave Apt 1203
RANCHO CUCAMONGA CA 91737-6958
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hsia, Fanney ZY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43076 Primary Status: Current
Address :
17873 Autry Ct
CHINO HILLS CA 91709-3204
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: bishop-richardson, pennie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41338 Primary Status: Current
Address :
7903 elm ave
#282
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cervantes, Steven
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41665 Primary Status: Delinquent
Address :
8205 Catawba Ave
FONTANA CA 92335-3204
SAN BERNARDINO COUNTY
