Get Application For Licensure As An Optometrist - Board Of Optometry ... - Optometry Ca

Filling out the Application For Licensure As An Optometrist is a crucial step for individuals seeking to practice optometry in California. This guide will provide you with clear, step-by-step instructions for completing the application online, ensuring that all necessary information is accurately submitted.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the application form and open it in your online editor.
2. Enter your Social Security number in the designated field. This information is required for identity verification.
3. Input your date of birth in the format Month/Date/Year. Ensure this matches your official identification.
4. Type your legal name, including your last name, first name, and middle name. If you do not have a middle name, please use 'NMN'.
5. Fill out your mailing address, including the street, city, state, and zip code where you can receive correspondence.
6. Provide your telephone number, and if applicable, your cellular phone number and email address for communication.
7. Enter the month and year when you completed Parts I – III of the National Board of Examiners in Optometry examinations.
8. Document the month and year you completed the California Laws and Regulations examination.
9. If applicable, indicate the month and year when you previously applied for an optometrist’s license in California.
10. List each state or territory where you have been licensed as an optometrist. Note that a letter of good standing is required from each board.
11. If you have any arrests or convictions, respond 'Yes' and include a detailed explanation along with supporting documents.
12. Verify all information entered is correct, then save your changes, and choose to download, print, or share your completed application as needed.

Complete your application online today to begin your journey as a licensed optometrist.