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State Board of Optometry
Licensure Information
 

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Rules and regulations - A hard copy is available from the Board office upon request.  Remember to include your mailing address with your request.

Name Change- Will be made only when a copy of an official document (marriage certificate, divorce decree or court order) is submitted with a letter of request.  The fee for a duplicate license is $5.00 (check or money order) payable to the Commonwealth of PA.

Address Change- Written requests should include the old address, new address and license number and/or social security number.  The Board must be notified within 10 days of any change in address.

Certification of Licensure - To obtain a certification of your license to another State Board (a Letter of Good Standing), send a written request including your name, license number, address of the other State Board, and a $15.00 check or money order payable to the Commonwealth of PA to: State Board of Optometry, P.O. Box 2649, Harrisburg, PA 17105-2649.

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Board application forms are available to be downloaded. 

Application for a License by Examination to Practice Optometry

Application for a License by Reciprocity to Practice Optometry 
Application for Registration of Additional Branch Practice Location
Application-Pharmaceutical Agents for Therapeutic Purposes - (Only required for existing licensees to upgrade - NOT to be used by new graduates)
Volunteer License Application
Application-Glaucoma - (Only required for existing licensees to upgrade - NOT to be used by new graduates)
Application to Conduct an Educational Conference 

Reactivation Application - Optometrist **NEW!
Reactivation Application - Branch **NEW!

Name and/or Address Change Form

 

 

Request for Certification of Licensure Form

Questions regarding this profession may be directed to the Office of the State Board: 

Board Administrator, State Board of Optometry, P.O. Box 2649, Harrisburg, PA  17105-2649, (717) 783-7155.  e-mail:  ST-OPTOMETRY@pa.gov

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Board Examination Information:

National Board Scores - Parts 1, 2A & 2B or BS (1) and CS (2) and Clinical Skills/VRICS examination, or PC (3) and the TMOD for therapeutic licenses. 

Contact National Board of Examiners in Optometry, 4340 East West Highway, Suite 1010, Bethesda, MD  20814, (301) 652-5192, e-mail address is NBEO@optometry.org

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License renewal cycle and fees:

Licenses expire November 30 of every even-numbered year.  The board mails renewal notices 2 to 3 months prior to the license expiration date.  Notices are mailed to the most recent address the licensee has reported to the Board.  The Postal Service does NOT forward licenses.  
Optometrist $135.00
Branch Office $20.00

Completion of 30 hours of board approved continuing education is required for renewal.  Only Optometrists licensed at the glaucoma level must carry professional liability insurance in the minimum amount of $1,000,000 per occurrence and $3,000,000 per annual aggregate.  All other Optometrists must have the insurance in the minimum amount of $200,000 per occurrence and $600,000 per annual aggregate.

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State Board of Optometry
P.O. Box 2649, Harrisburg, PA 17105-2649
Phone - (717) 783-7155
Fax - (717) 787-7769
ST-OPTOMETRY@pa.gov


Modified Date: 02/12/2014 03:43 PM