California State Board of Optometry
Licensing details for: 7322
Name: COSTCO WHOLESALE CORPORATION
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
520 N LONE HILL AVE
SAN DIMAS CA 91773
LOS ANGELES 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: FOSDICK, THERESA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8435 Primary Status: Current
Address :
7240 Braceo Road
OAK HILLS CA 92344
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PASCUAL, OSWALD-FRANCIS AGDEPPA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8329 Primary Status: Cancelled
Address :
118 N Barbara Ave
AZUSA CA 91702-4225
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ROMAN, CINDY LEE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1477 Primary Status: Current
Address :
1725 S Granite Ave
ONTARIO CA 91762-5918
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BLANCO-RICO, ERIC JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2131 Primary Status: Current
Address :
4632 Fraijo Ave
IRWINDALE CA 91706-2126
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AGYIN, ALEKSANDRA M
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8237 Primary Status: Current
Address :
1208 Bathport Way
CORONA CA 92881-0998
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOORE, KIMBERLY ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8079 Primary Status: Cancelled
Address :
1575 Majesty St
UPLAND CA 91784-9249
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PUMAGUALLI, KAREN L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8145 Primary Status: Current
Address :
16681 Wyndham Ln
Unit 3
FONTANA CA 92336
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tang, Queenie Snow
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8909 Primary Status: Current
Address :
18537 E Arrow Hwy
Apt. C105
COVINA CA 91722-1843
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CAMARILLO, LINDA VANESSA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8908 Primary Status: Current
Address :
600 Hunters Trl Apt 34
GLENDORA CA 91740-4532
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: ANDERS, MARTELL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8346 Primary Status: Current
Address :
552 E Tam O Shanter St
ONTARIO CA 91761-6741
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PERERA, SAMANTHA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8002 Primary Status: Cancelled
Address :
2 Frontier Rd
POMONA CA 91766-4861
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CARRILLO, EDGAR ULISES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1992 Primary Status: Current
Address :
11800 4th St
RANCHO CUCAMONGA CA 91730-6129
SAN BERNARDINO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Nelson, Kristin Ann
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8931 Primary Status: Current
Address :
55 N Mar Vista Ave
27
PASADENA CA 91106-1465
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Rubio, Nathan
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9117 Primary Status: Current
Address :
221 Marmalade Ln
HEMET CA 92544-4540
RIVERSIDE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: NAASZ, ANDREA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1520 Primary Status: Delinquent
Address :
7218 Piute Creek Dr
CORONA CA 92881-4200
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PERERA, SAMANTHA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6758 Primary Status: Cancelled
Address :
2 Frontier Rd
POMONA CA 91766-4861
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BLANCO-RICO, ERIC JAMES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6256 Primary Status: Current
Address :
4632 FRAIJO AVENUE
IRWINDALE CA 91706
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Rubio, Nathan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43154 Primary Status: Current
Address :
221 Marmalade Ln
HEMET CA 92544-4540
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ANDERS, MARTELL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41251 Primary Status: Current
Address :
552 E TAM O SHANTER ST
ONTARIO CA 91761-6741
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PUMAGUALLI, KAREN L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40573 Primary Status: Current
Address :
16681 Wyndham Ln Unit 3
FONTANA CA 92336-6152
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARRILLO, EDGAR ULISES
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6058 Primary Status: Current
Address :
11800 4th St
RANCHO CUCAMONGA CA 91730-6129
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROMAN, CINDY LEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4583 Primary Status: Current
Address :
1725 S Granite Ave
ONTARIO CA 91762
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, ANTONIA H
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5240 Primary Status: Cancelled
Address :
203 N HAMBLEDON AVE
LA PUENTE CA 91744
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PASCUAL, OSWALD-FRANCIS AGDEPPA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41199 Primary Status: Delinquent
Address :
118 N Barbara Ave
AZUSA CA 91702-4225
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NAASZ, ANDREA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5993 Primary Status: Current
Address :
7218 Piute Creek Dr
CORONA CA 92881-4200
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOORE, KIMBERLY ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40360 Primary Status: Cancelled
Address :
1575 Majesty St
UPLAND CA 91784-9249
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ornelas, Sierra
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43698 Primary Status: Current
Address :
1775 N San Dimas Canyon Rd
SAN DIMAS CA 91773-1362
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FOSDICK, THERESA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40882 Primary Status: Current
Address :
7240 Braceo St
OAK HILLS CA 92344-0674
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tang, Queenie Snow
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42855 Primary Status: Current
Address :
18537 E Arrow Hwy
Apt. C105
COVINA CA 91722-1843
LOS ANGELES COUNTY
