California State Board of Optometry
Licensing details for: 8524
Name: Kim, Stephen E
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
13111 Peyton Dr
Costco Optical Department
CHINO HILLS CA 91709-6002
SAN BERNARDINO county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact 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
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kim, Stephen E
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41192 Primary Status: Current
Address :
13111 Peyton Dr
Costco Optical Department
CHINO HILLS CA 91709-6002
SAN BERNARDINO COUNTY



