California State Board of Optometry
Licensing details for: 7311
Name: COSTCO WHOLESALE #1010
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
14555 VALLEY CENTER DR
VICTORVILLE CA 92392
SAN BERNARDINO 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: COLLINS, MARGARET FRANCES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1358 Primary Status: Cancelled
Address :
9152 C AVENUE SP 7
HESPERIA CA 92345
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Barrios, Jasmine Nicole
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8980 Primary Status: Current
Address :
14555 Valley Center Dr
VICTORVILLE CA 92395-4216
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARLO, ANNA MARIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8275 Primary Status: Current
Address :
10655 Lemon Ave Apt 1203
RANCHO CUCAMONGA CA 91737-6958
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ALVAREZ, EDWARD EZEQUIEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8003 Primary Status: Current
Address :
17341 Paine St
FONTANA CA 92336-2737
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Toribio, Heidy Berenice
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8414 Primary Status: Current
Address :
13616 Fox Point Rd
VICTORVILLE CA 92392-5567
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUNT, CANDICE ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2228 Primary Status: Cancelled
Address :
21111 Multnomah Rd
APPLE VALLEY CA 92308-6913
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MALDONADO, LEONARD TIBERIO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8290 Primary Status: Current
Address :
12700 Waynoka Rd
APPLE VALLEY CA 92308-7160
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BARRON, SOPHIA L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9287 Primary Status: Current
Address :
7712 Hess Pl Unit 3
RANCHO CUCAMONGA CA 91739-8642
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LAIRD, JEFFREY LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1567 Primary Status: Cancelled
Address :
14411 Palmdale Rd Spc 14
VICTORVILLE CA 92392-2759
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Llamas, Leilani Alicia
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8979 Primary Status: Current
Address :
11715 Cambridge St
ADELANTO CA 92301-3743
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DAVILA, DEANA DENISE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1695 Primary Status: Delinquent
Address :
20935 RANCHERIAS ROAD
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: EARLEY, AMANDA KATHLEEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1855 Primary Status: Cancelled
Address :
COSTCO WHOLESALE # 627
16505 SIERRA LAKES PKWY
FONTANA CA 92336-1256
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LAIRD, JEFFREY LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5460 Primary Status: Cancelled
Address :
14411 Palmdale Rd Spc 14
VICTORVILLE CA 92392-2759
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Llamas, Leilani Alicia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42773 Primary Status: Current
Address :
11715 Cambridge St
ADELANTO CA 92301-3743
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANANIKIAN, KARAPET
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4555 Primary Status: Cancelled
Address :
10553 WAKEFIELD STREET EAST
ADELANTO CA 92301
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Toribio, Heidy Berenice
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41471 Primary Status: Current
Address :
13616 Fox Point Rd
VICTORVILLE CA 92392-5567
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Magdaleno, Andrew
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43822 Primary Status: Current
Address :
12482 Deborah Dr
VICTORVILLE CA 92392-4861
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EVANS, SANDRA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40566 Primary Status: Current
Address :
14374 Borego Rd
#208
VICTORVILLE CA 92392-6904
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARRON, SOPHIA L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43807 Primary Status: Current
Address :
7712 Hess Pl Unit 3
RANCHO CUCAMONGA CA 91739-8642
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EARLEY, AMANDA KATHLEEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5831 Primary Status: Cancelled
Address :
COSTCO WHOLESALE # 627
16505 SIERRA LAKES PKWY
FONTANA CA 92336-1256
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Barrios, Jasmine Nicole
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42848 Primary Status: Current
Address :
17711 Cajon St
HESPERIA CA 92345-6230
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALVAREZ, EDWARD EZEQUIEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40108 Primary Status: Current
Address :
17341 Paine St
FONTANA CA 92336-2737
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PETERS, KAREN L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3340 Primary Status: Cancelled
Address :
8956 SVL BOX
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DAVILA, DEANA DENISE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4268 Primary Status: Delinquent
Address :
14555 Valley Center Dr
VICTORVILLE CA 92395-4216
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUNT, CANDICE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6648 Primary Status: Cancelled
Address :
21111 Multnomah Rd
APPLE VALLEY CA 92308-6913
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LEEPER, MICHAEL JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4959 Primary Status: Cancelled
Address :
9714 SVL BOX
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TURNER, RACHELLE ROXAS
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4857 Primary Status: Cancelled
Address :
310 RINGNECK ST
AMERICAN CANYON CA 94503
NAPA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dorantes, Daniel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41798 Primary Status: Current
Address :
18141 Sycamore St
HESPERIA CA 92345-5044



