California State Board of Optometry
Licensing details for: 7128
Name: COSTCO WHOLESALE #741
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO 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: BERARD, GREGORY JOHN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1677 Primary Status: Cancelled
Address :
550 MAY STREET
ARROYO GRANDE CA 93420-2832
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SAGOUSPE-KUNZ, SASHA ELLA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7978 Primary Status: Cancelled
Address :
1025 Pinewood Ct
MADERA CA 93637-2764
MADERA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Franco, Jazzlynn Judith
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9080 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Vaughan, Caitlin Ramey
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8778 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ECKLES, CARRIE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8265 Primary Status: Delinquent
Address :
2157 Laguna Negra Ln
ARROYO GRANDE CA 93420-9653
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PEREZ, FRANCISCA MARCELINA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8236 Primary Status: Current
Address :
2641 Santa Barbara Dr
SANTA MARIA CA 93455-1793
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MALDONADO, MARICELA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8232 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Garcia-Parra, Casandra
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9249 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: castillo, natalie
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8846 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Barbosa, Jennifer Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8390 Primary Status: Current
Address :
3131 Caselli Way
SANTA MARIA CA 93455
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HARRIS, PAMELA DRAKE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1853 Primary Status: Cancelled
Address :
935 PECHO STREET
MORRO BAY CA 93442
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HAYES, JENNIFER RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1303 Primary Status: Cancelled
Address :
21205 JASMINES WAY
LAKE FOREST CA 92630
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Jost, Linda K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8513 Primary Status: Cancelled
Address :
PO Box 1328
MORRO BAY CA 93443-1328
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GOLDSMITH, HEATHER ARLENE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8064 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Bonfield, Kyle
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8999 Primary Status: Current
Address :
1540 froom ranch way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Toma, Matthew Zackery
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9083 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Detwiler, Malea Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9268 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MECCHI, RON B
License/Registration Type: Registered Contact Lens Dispenser
License Number: 807 Primary Status: Current
Address :
79795 Highway 111
LA QUINTA CA 92253-4756
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: zolty, ashlen thaddeus michael
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8424 Primary Status: Current
Address :
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Guerrero, Aidan Roman
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9171 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: zolty, ashlen thaddeus michael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41341 Primary Status: Current
Address :
1421 17th St
LOS OSOS CA 93402-1822
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Garcia-Parra, Casandra
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43635 Primary Status: Current
Address :
103 Pilgrim Way
ARROYO GRANDE CA 93420-4013
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BLACKMORE, ERNEST EDWARD JR
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3462 Primary Status: Cancelled
Address :
1540 FROOM RANCH WAY
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Barbosa, Jennifer Ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41343 Primary Status: Current
Address :
3131 Caselli Way
SANTA MARIA CA 93455
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BROADFOOT, MARIDEE DARNELL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5886 Primary Status: Cancelled
Address :
2780 BLACK WALNUT ROAD
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Franco, Jazzlynn Judith
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43288 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Guerrero, Aidan Roman
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43596 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MALDONADO, MARICELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40919 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BERARD, GREGORY JOHN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5371 Primary Status: Cancelled
Address :
550 MAY ST
ARROYO GRANDE CA 93420-2832
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOLDSMITH, HEATHER ARLENE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40260 Primary Status: Current
Address :
1700 S Bradley Rd
SANTA MARIA CA 93454-8001
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HARRIS, PAMELA DRAKE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5599 Primary Status: Cancelled
Address :
935 PECHO STREET
MORRO BAY CA 93442
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vaughan, Caitlin Ramey
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42099 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ, FRANCISCA M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6201 Primary Status: Current
Address :
2641 Santa Barbara Dr
SANTA MARIA CA 93455-1793
SANTA BARBARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: castillo, natalie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42839 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Jost, Linda K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41534 Primary Status: Cancelled
Address :
P. O. Box 1328
MORRO BAY CA 93443
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bonfield, Kyle
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43186 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ECKLES, CARRIE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5235 Primary Status: Delinquent
Address :
2157 Laguna Negra Ln
ARROYO GRANDE CA 93420-9653
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Toma, Matthew Zackery
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43395 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
SAN LUIS OBISPO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Detwiler, Malea Ann
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43645 Primary Status: Current
Address :
1540 Froom Ranch Way
SAN LUIS OBISPO CA 93405-7211
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MECCHI, RON B
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 34 Primary Status: Current
Address :
79795 Highway 111
LA QUINTA CA 92253-4756
RIVERSIDE COUNTY
