California State Board of Optometry
Licensing details for: 7623
Name: COSTCO WHOLESALE #1110
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
7562 CENTER AVE
HUNTINGTON BEACH CA 92648
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: MINASSIAN, ANGEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2210 Primary Status: Current
Address :
4164 N Ramona St
ORANGE CA 92865-1414
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MAPLE, DEBORAH K
License/Registration Type: Registered Contact Lens Dispenser
License Number: 763 Primary Status: Cancelled
Address :
6026 PASEO ALAMEDA
CARLSBAD CA 92009
SAN DIEGO COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HIDALGO, AQUILES GERARDO
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2318 Primary Status: Current
Address :
16707 Garfield Ave
SPC 1602
PARAMOUNT CA 90723
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KIRKWOOD, KATIE LEIGH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2295 Primary Status: Cancelled
Address :
11152 Wallingsford Rd
#1E
LOS ALAMITOS CA 90720-3045
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: AGUILERA, KIMBERLY
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9031 Primary Status: Current
Address :
6161 WOODRUFF AVE
APT D
LAKEWOOD CA 90713
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Chavarria, Luis
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8779 Primary Status: Current
Address :
1605 S Steele Dr
ANAHEIM CA 92804-6218
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Dang, Aaron
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8455 Primary Status: Current
Address :
12112 Sheridan Ln
GARDEN GROVE CA 92840-2813
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: truong, janyne lisa
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8998 Primary Status: Current
Address :
7562 Center Ave
HUNTINGTON BEACH CA 92647-3002
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Tith, Mallika Beaulinda
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8853 Primary Status: Current
Address :
14602 Ibex Ave
NORWALK CA 90650-5935
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chavarria, Luis
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42078 Primary Status: Current
Address :
1605 S Steele Dr
ANAHEIM CA 92804-6218
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, JORGE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4364 Primary Status: Current
Address :
1167 N Shooting Star dr
BEAUMONT CA 92223
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Tith, Mallika Beaulinda
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42755 Primary Status: Current
Address :
14602 Ibex Ave
NORWALK CA 90650-5935
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dang, Aaron
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41481 Primary Status: Current
Address :
12112 Sheridan Ln
GARDEN GROVE CA 92840-2813
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: OTT, FATIMA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40389 Primary Status: Current
Address :
26610 Ynez Rd
TEMECULA CA 92591-4697
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MAPLE, DEBORAH K
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2108 Primary Status: Cancelled
Address :
6026 PASEO ALAMEDA
CARLSBAD CA 92009
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FRY, ANGELICA DALE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5471 Primary Status: Cancelled
Address :
13721 McMains St
GARDEN GROVE CA 92844-2740
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUDDLESTON, DENISE CUCITI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6237 Primary Status: Cancelled
Address :
756 W 7TH STREET
SAN PEDRO CA 90731
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ZAMBROS, ATHANASIOS STEVE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4136 Primary Status: Current
Address :
4309 W 166th St
LAWNDALE CA 90260-2904
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: truong, janyne lisa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43098 Primary Status: Current
Address :
7562 Center Ave
HUNTINGTON BEACH CA 92647-3002
ORANGE COUNTY
