California State Board of Optometry
Licensing details for: 7265
Name: COSTCO # 1001
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2700 PARK AVENUE
TUSTIN CA 92782
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: TABORDA, GABRIEL ANDRES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1573 Primary Status: Current
Address :
1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rojas, Angelica Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9042 Primary Status: Current
Address :
PO Box 764
ANAHEIM CA 92815-0764
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PACHECO, REGINA CHAN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2045 Primary Status: Current
Address :
2609 W Cameron Ct
ANAHEIM CA 92801-4955
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LAWRENCE, CHRISTINE RENEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8242 Primary Status: Current
Address :
413 Edgemont Drive
REDLANDS CA 92373
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MORNING, SAWANGJIT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8854 Primary Status: Current
Address :
122 Bridle Path
IRVINE CA 92602-1806
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TORRES, LILLIAN PATRICIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2005 Primary Status: Current
Address :
1069 Beverly Rd
CORONA CA 92879-2304
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SOTO, KIM LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1878 Primary Status: Current
Address :
115 Technology Dr
IRVINE CA 92618-2408
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2148 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BABA, JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7962 Primary Status: Current
Address :
PO BOX 5704
FULLERTON CA 92838
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GUTIERREZ FUENTES, JUANA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8372 Primary Status: Cancelled
Address :
4214 Shellicia Cir.
RIVERSIDE CA 92509
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WYATT, BEVERLY KAY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8273 Primary Status: Delinquent
Address :
4500 E Ray Rd
2147
GILBERT AZ 85296-0671
MARICOPA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ARMOR, JAMES C
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7973 Primary Status: Delinquent
Address :
17971 Oakfield Dr
VILLA PARK CA 92861-1200
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Munoz, Monserrat Alejandra
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9311 Primary Status: Current
Address :
1018 W Curie Ave
SANTA ANA CA 92707-3835
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GUTIERREZ FUENTES, JUANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40801 Primary Status: Cancelled
Address :
4214 Shellicia Cir
RIVERSIDE CA 92509-0732
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Khooda, Eamon George
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41590 Primary Status: Current
Address :
2655 El Camino Real
TUSTIN CA 92782-8918
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BABA, JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6108 Primary Status: Current
Address :
PO BOX 5704
FULLERTON CA 92838
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rojas, Angelica Maria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43308 Primary Status: Current
Address :
PO Box 764
ANAHEIM CA 92815-0764
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORNING, SAWANGJIT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42850 Primary Status: Current
Address :
122 Bridle Path
IRVINE CA 92602-1806
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GOMEZ, RAYMOND C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5669 Primary Status: Cancelled
Address :
13771 BROWNING AVE
TUSTIN CA 92780
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TORRES, LILLIAN PATRICIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5822 Primary Status: Current
Address :
1069 Beverly Rd
CORONA CA 92879-2304
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WYATT, BEVERLY KAY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40571 Primary Status: Delinquent
Address :
4500 E Ray Rd
2147
GILBERT AZ 85296-0671
MARICOPA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAWRENCE, CHRISTINE RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40947 Primary Status: Current
Address :
413 Edgemont Drive
REDLANDS CA 92373
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARMOR, JAMES C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40037 Primary Status: Delinquent
Address :
17971 Oakfield Dr
VILLA PARK CA 92861-1200
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBBA, WESTON DEHARTE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6497 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TABORDA, GABRIEL ANDRES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3955 Primary Status: Current
Address :
1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PACHECO, REGINA CHAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6200 Primary Status: Current
Address :
2609 W Cameron Ct
ANAHEIM CA 92801-4955
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MATA, ALFREDO DEJESUS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40806 Primary Status: Cancelled
Address :
4609 Hollyline Ave
SANTA ANA CA 92703-1524
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Munoz, Monserrat Alejandra
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43857 Primary Status: Current
Address :
1018 W Curie Ave
SANTA ANA CA 92707-3835
ORANGE COUNTY



