California State Board of Optometry
Licensing details for: 7224
Name: COSTCO WHOLESALE #638
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
79-795 HIGHWAY 111
LA QUINTA CA 92253
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: HEYDEL, JILL M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8054 Primary Status: Delinquent
Address :
15500 Bubbling Wells Rd
Space 282
DESERT HOT SPRINGS CA 92240-7043
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARTH, CHRISTOPHER LOREN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2027 Primary Status: Cancelled
Address :
10880 Disk Dr
RANCHO CORDOVA CA 95670-6280
SACRAMENTO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: FRANK, STEVEN L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1644 Primary Status: Current
Address :
54225 AVENIDA MARTINEZ
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: COULTER, DOLLY MELINDA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1830 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: Vargas, Cynthia m
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8825 Primary Status: Current
Address :
50-660 Eisenhower Drive
Apt 321
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Corona, Brenda
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9033 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: GARCIA, MENESSA MONIQUE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2159 Primary Status: Cancelled
Address :
48551 PLAYA DEL AMOR
COACHELLA CA 92236
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARAJAS, AXEL H
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1919 Primary Status: Current
Address :
40919 CECINA WAY
BERMUDA DUNES CA 92203
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DARNALL, PHILIP PATRICK
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1327 Primary Status: Cancelled
Address :
79-795 HIGHWAY 111
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Corona, Brenda
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42827 Primary Status: Current
Address :
39905 Estates Rd
apt 1
RANCHO MIRAGE CA 92270-6000
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRANK, STEVEN L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2754 Primary Status: Current
Address :
54225 AVENIDA MARTINEZ
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COULTER, DOLLY MELINDA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5626 Primary Status: Current
Address :
51440 AVE MENDOZA
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DARNALL, PHILIP PATRICK
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4933 Primary Status: Cancelled
Address :
79-795 HIGHWAY 111
LA QUINTA CA 92253
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HEYDEL, JILL M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40287 Primary Status: Delinquent
Address :
15500 Bubbling Wells Rd
Space 282
DESERT HOT SPRINGS CA 92240-7043
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARAJAS, AXEL H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5764 Primary Status: Current
Address :
40919 CECINA WAY
BERMUDA DUNES CA 92203
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARTH, CHRISTOPHER LOREN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6172 Primary Status: Cancelled
Address :
10880 Disk Dr
RANCHO CORDOVA CA 95670-6280
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARCIA, MENESSA MONIQUE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6519 Primary Status: Cancelled
Address :
48551 PLAYA DEL AMOR
COACHELLA CA 92236
RIVERSIDE COUNTY
