California State Board of Optometry
Licensing details for: 7096
Name: COSTCO WHOLESALE #748
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Previous Names: COSTCO WHOLESALE 3748
Address of Record
5401 KATELLA AVENUE
CYPRESS CA 90720
ORANGE 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: YANEZ, JOE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1879 Primary Status: Cancelled
Address :
1014 Sherwood Ln
SANTA ANA CA 92706-1138
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TRUONG, VICTORIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9253 Primary Status: Current
Address :
10611 Woodbury Rd
GARDEN GROVE CA 92843-3346
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ramirez, gabriela soto
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9082 Primary Status: Current
Address :
9266 Nan St
PICO RIVERA CA 90660-3830
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SABLAN, DAVID MATTHEW
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8072 Primary Status: Current
Address :
14501 HINDRY AVE
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DICDICAN, DIANA TIBON
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8142 Primary Status: Cancelled
Address :
10522 Willow Ln
SANTA FE SPRINGS CA 90670-3819
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Lara-Jimenez, Miguel Andree
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8467 Primary Status: Current
Address :
14638 Beherens Ave
NORWALK CA 90650
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BALAM, NICO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1880 Primary Status: Current
Address :
12706 WALDORF DRIVE
LYNWOOD CA 90262
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FITZGERALD, MICHAEL JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1862 Primary Status: Current
Address :
2200 E Willow St
SIGNAL HILL CA 90755-2132
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Amaya Estrella, Julio Sergio
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8585 Primary Status: Current
Address :
410 S Manhattan Pl
#206
LOS ANGELES CA 90020-4155
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ERICKSON, JENNIFER LYNNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7966 Primary Status: Delinquent
Address :
2276 Argonne Ave
LONG BEACH CA 90815-2528
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Farias, Cesar Octavio Jr
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8959 Primary Status: Current
Address :
15708 Perilla Ave
Apt 4
PARAMOUNT CA 90723-5227
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LEE, PAULA J
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1443 Primary Status: Cancelled
Address :
6373 GRANT CT
CHINO CA 91710
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ESTRADA, MONIQUE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1547 Primary Status: Current
Address :
7021 Corona Ave
BELL CA 90201-3427
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Moore, Kelley Raine
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8954 Primary Status: Current
Address :
6021 Royalist Dr
HUNTINGTON BEACH CA 92647-3256
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Nguyen, Angel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8478 Primary Status: Current
Address :
1440 Girona Dr
POMONA CA 91766-7501
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ACOSTA, JESUS
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1563 Primary Status: Current
Address :
15416 Clarkdale Ave
NORWALK CA 90650-6509
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FITZGERALD, MICHAEL JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2477 Primary Status: Current
Address :
2200 E Willow St
SIGNAL HILL CA 90755-2132
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ESTRADA, MONIQUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5421 Primary Status: Current
Address :
7021 Corona Ave
BELL CA 90201-3427
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRUONG, VICTORIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43729 Primary Status: Current
Address :
10611 Woodbury Rd
GARDEN GROVE CA 92843-3346
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sutherland, Rebecca Danielle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42142 Primary Status: Cancelled
Address :
1830 W Orange Ave
ANAHEIM CA 92804-2640
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RENNER, MARK H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1443 Primary Status: Cancelled
Address :
886 SILVER CLOUD ST
THOUSAND OAKS CA 91360
VENTURA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DICDICAN, DIANA TIBON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40563 Primary Status: Cancelled
Address :
10522 Willow Ln
SANTA FE SPRINGS CA 90670-3819
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Moore, Kelley Raine
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43085 Primary Status: Current
Address :
6021 Royalist Dr
HUNTINGTON BEACH CA 92647-3256
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Farias, Cesar Octavio Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43153 Primary Status: Current
Address :
15708 Perilla Ave Apt 4
PARAMOUNT CA 90723-5227
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SABLAN, DAVID MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40337 Primary Status: Current
Address :
14501 HINDRY AVE.
HAWTHORNE CA 90250-6748
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lara-Jimenez, Miguel Andree
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41328 Primary Status: Current
Address :
14638 Behrens Ave
NORWALK CA 90650-4620
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Lonh, Karen Tida
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41460 Primary Status: Cancelled
Address :
12210 179th St
ARTESIA CA 90701-4231
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Amaya Estrella, Julio Sergio
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41453 Primary Status: Current
Address :
410 S. Manhattan PL
206
LOS ANGELES CA 90020
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBERTS, WENDY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6537 Primary Status: Cancelled
Address :
6949 Houston St
#4
BUENA PARK CA 90620-1666
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ERICKSON, JENNIFER LYNNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6396 Primary Status: Delinquent
Address :
2276 ARGONNE AVENUE
LONG BEACH CA 90815
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEE, PAULA J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4456 Primary Status: Cancelled
Address :
6373 GRANT COURT
CHINO CA 91710
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nguyen, Angel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41554 Primary Status: Current
Address :
1440 Girona Dr
POMONA CA 91766-7501
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ramirez, gabriela soto
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43397 Primary Status: Current
Address :
9266 Nan St
PICO RIVERA CA 90660-3830
LOS ANGELES COUNTY
