California State Board of Optometry
Licensing details for: 7518
Name: COSTCO WHOLESALE #1071
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
13350 Paxton St
PACOIMA CA 91331-2339
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: ARRIZON, CARMEN DIAZ
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2071 Primary Status: Cancelled
Address :
18649 Via Princessa
c/o Costco Optical
SANTA CLARITA CA 91387-4935
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MARTINEZ, RICHARD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8267 Primary Status: Current
Address :
13880 Sayre St Unit 5
SYLMAR CA 91342-7415
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Amirmoini, Michael James
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8512 Primary Status: Current
Address :
6327 Sunnyslope Ave
VAN NUYS CA 91401-2412
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RHEE, WON YOUNG
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8787 Primary Status: Current
Address :
8640 PETIT AVE
APT 143
NORTHRIDGE CA 91343-4652
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Sanchez, Manuel Jr
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9090 Primary Status: Current
Address :
18213 Lull St
RESEDA CA 91335-2051
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Caudillo, Mayra
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8397 Primary Status: Current
Address :
12601 van nuys bvd
144
PACOIMA CA 91331
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SOLORZANO, IRVING ANTONIO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1861 Primary Status: Current
Address :
27004 Goldfields Ct
VALENCIA CA 91381-2192
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: VIVIAN-MARIN, JASMIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2207 Primary Status: Current
Address :
6912 Coldwater Canyon Ave
Apt 108
NORTH HOLLYWOOD CA 91605-5172
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: RODRIGUEZ, MELINDA ANN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1242 Primary Status: Current
Address :
2901 Los Feliz Blvd
LOS ANGELES CA 90039-1502
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Saito, Paul
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9167 Primary Status: Current
Address :
20140 Stagg St. Winnetka Calif
WINNETKA CA 91306
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tomov, David
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8777 Primary Status: Current
Address :
9809 Cayuga Ave
PACOIMA CA 91331-4125
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sanchez, Manuel Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43408 Primary Status: Current
Address :
18213 Lull St
RESEDA CA 91335-2051
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Caudillo, Mayra
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41363 Primary Status: Current
Address :
12601 Van nuys blvd
144
PACOIMA CA 91331
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ARRIZON, CARMEN DIAZ
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6126 Primary Status: Cancelled
Address :
18649 Via Princessa
c/o Costco Optical
SANTA CLARITA CA 91387-4935
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: VIVIAN-MARIN, JASMIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6605 Primary Status: Current
Address :
6912 Coldwater Canyon Ave
Apt 108
NORTH HOLLYWOOD CA 91605-5172
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Davoodi, Edean
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43593 Primary Status: Current
Address :
26914 Palacete Dr
SANTA CLARITA CA 91354-2329
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Saito, Paul
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42909 Primary Status: Current
Address :
20140 Stagg St
WINNETKA CA 91306-2513
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SOLORZANO, IRVING ANTONIO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5775 Primary Status: Current
Address :
27004 Goldfields Ct
VALENCIA CA 91381-2192
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MARTINEZ, RICHARD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41002 Primary Status: Current
Address :
13880 Sayre St Unit 5
SYLMAR CA 91342-7415
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Amirmoini, Michael James
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41709 Primary Status: Current
Address :
6327 Sunnyslope Ave
VAN NUYS CA 91401-2412
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, MELINDA ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4351 Primary Status: Current
Address :
2901 los feliz
LOS ANGELES CA 90039
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Portman, Nida M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41720 Primary Status: Delinquent
Address :
14714 Tupper St
PANORAMA CITY CA 91402-1245
LOS ANGELES COUNTY



