NECESSITY, FUNCTION, AND CONFORMITY: KRS 320.220 [pdf] requires all persons who practice optometry in this state-be licensed by the Ky. Board of Optometric Examiners.  KRS 320.250 [pdf] establishes criteria for an applicant-apply for a license.  KRS 320.270 [pdf] grants the board the discretion-admit-practice in Ky. persons licensed-practice optometry in other states.  This administrative regulation prescribes the procedures-be followed in making application-the board for a license.

Section 1.  Any person wishing to apply for a license to practice optometry shall submit to the board, within fifteen (15) days of board review, the following in addition to a completed application:

1. Birth certificate;
2. Certified copy of college transcripts received directly from registrar’s office;
3. Certified copy of optometry school transcripts received directly from registrar’s office;
4. National board results;
5. Therapeutic Management of Ocular Disease, "TMOD" results;
6. Two (2) letters of recommendation, one (1) of which shall be from a licensed optometrist;
7. Proof of successful completion of State Law Exam results;
8. A recent photograph of head and shoulders, front view; and
9. A money order or cashier's check payable to the Kentucky State Treasurer in the amount of $500.

Section 2.  Any person wishing to apply for a license to practice optometry by endorsement shall submit to the board, within fifteen (15) days of board review, the following in addition to a completed application:

1. Verification that the applicant has been licensed in optometry and in active practice the past five (5) years;
2. Information regarding any resolved, pending, or unresolved board action or malpractice suit in any state or territory;
3. Certified copy of college transcripts received directly from registrar’s office;
4. Certified copy of optometry school transcripts received directly from registrar’s office;
5. Certificate of good standing from the board where the applicant is currently licensed and from all state boards where the applicant has held a license in the past;
6. Copy of credential that proves the applicant is therapeutically licensed;
7. Two (2) letters of recommendation, one (1) of which shall be from a licensed optometrist;
8. Proof of successful completion of Kentucky State Law Exam;
9. A recent photograph of head and shoulders, front view;
10. A certified check or money order made payable to the Kentucky State Treasurer in the amount of $700; and
11. A notarized statement explaining why the applicant wishes to be admitted to practice in Kentucky.

Section 3. Updated: 201 KAR 5:010

1. A person whose license has been revoked pursuant to KRS 320.280(3) [pdf], may apply for reinstatement of his or her license.
2. A person applying for reinstatement shall furnish the following documentation to the board:
   1. Evidence of completion of the continuing education requirements established in 201 KAR 5:030; and
   2. Payment of the renewal fee established in 201 KAR 5:090.

Section 4.  Incorporation by Reference.

1. The following material is incorporated by reference:
   1. "Application For License To Practice Optometry (July 6, 2000 edition)"; and
   2. "Application For License By Endorsement To Practice Optometry (July 6, 2000 edition)".
2. This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Optometric Examiners, 301 E. Main Street, Suite 850, Lexington, Kentucky 40507, telephone (859) 246-2744, Monday through Friday, 8:30 a.m. to 5 p.m. (2 Ky.R. 506; eff. 4-14-76; Am. 5 Ky.R. 927; eff. 8-1-79; 17 Ky.R. 2485; 2940; eff. 4-5-91; 27 Ky.R. 2865; 28 Ky.R. 349; eff. 8-15-2001.)

RELATES TO: KRS 320.220, 320.250, 320.270

STATUTORY AUTHORITY: KRS 320.240(7), 320.270(4)

Original: Application for licensure; endorsement