California State Board of Optometry
Licensing details for: 4017
Name: DOMINQUEZ, MICHAEL R
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
20347 Ivy Hill Ln
YORBA LINDA CA 92886-6623
ORANGE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #445
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6833 Primary Status: Current
Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92887
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #473
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6844 Primary Status: Current
Address :
13111 PEYTON DR
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #454
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6838 Primary Status: Current
Address :
115 TECHNOLOGY DR
IRVINE CA 92618
ORANGE COUNTY
