California State Board of Optometry
Licensing details for: 9175
Name: Wietrick, Larena Clemena
License Type: Registered Contact Lens Dispenser
Primary Status: Current
Address of Record
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
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 CORPORATION
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7368 Primary Status: Current
Address :
340 LAKEWOOD CENTER MALL
LAKEWOOD CA 90712-2438
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Wietrick, Larena Clemena
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43598 Primary Status: Current
Address :
340 Lakewood Center Mall
LAKEWOOD CA 90712-2409
LOS ANGELES COUNTY
