California State Board of Optometry
Licensing details for: 7127
Name: COSTCO WHOLESALE #777
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
101 N BEACH BLVD
LA HABRA CA 90631
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: REYES, CARL ANTHONY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1605 Primary Status: Current
Address :
101 N Beach Blvd
LA HABRA CA 90631-4468
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STERLING, SUZANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1739 Primary Status: Cancelled
Address :
103 S POPLAR AVE
BREA CA 92821
ORANGE 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: Miller, Destiny Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8809 Primary Status: Delinquent
Address :
2211 E Poppy St
Apt 108
LONG BEACH CA 90805-3245
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Canada, Kevin
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8876 Primary Status: Current
Address :
101 N Beach Blvd
LA HABRA CA 90631-4468
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: St. Amant, Herbert Eugene
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8665 Primary Status: Current
Address :
9893 Via Linda
CYPRESS CA 90630-3458
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Reynaga, Magaly
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9020 Primary Status: Current
Address :
11454 Esther St
NORWALK CA 90650-7908
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: D'ANDA, MARTA ANNE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1707 Primary Status: Cancelled
Address :
15436 LA MIRADA BLVD # HH210
LA MIRADA CA 90638
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARTIN, AMALIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8081 Primary Status: Cancelled
Address :
10919 Sunset Meadow Dr
RIVERSIDE CA 92505-2107
RIVERSIDE 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: Reynaga, Magaly
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43252 Primary Status: Current
Address :
11454 Esther St
NORWALK CA 90650-7908
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: St. Amant, Herbert Eugene
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42332 Primary Status: Current
Address :
9893 Via Linda
CYPRESS CA 90630-3458
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Canada, Kevin
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42895 Primary Status: Current
Address :
101 N Beach Blvd
LA HABRA CA 90631
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Jimenez, Maria Elena
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41958 Primary Status: Current
Address :
7942 Jaboneria Rd
BELL GARDENS CA 90201-5553
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, CARL ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4189 Primary Status: Current
Address :
101 N Beach Blvd
LA HABRA CA 90631-4468
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: D'ANDA, MARTA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 908 Primary Status: Cancelled
Address :
15436 LA MIRADA BL #H210
LA MIRADA CA 90638
LOS ANGELES COUNTY
