License GuideSOC 29-1041

Optometrist
License.

An optometrist diagnoses and treats eye diseases and vision problems. They perform comprehensive eye exams to assess how well patients see and identify conditions like nearsightedness, farsightedness, and astigmatism. Optometrists prescribe corrective lenses and eyeglasses tailored to each patient's needs. They also diagnose common eye diseases such as glaucoma and cataracts, and in most states, they can prescribe medications to treat eye conditions. Regular patient consultations and precise diagnostic testing make up the core of their daily work.

At a Glance

Everything a Optometrist needs to know.

The Work
What you actually do

Licensed optometrists are regulated at the state level. Every state sets its own education, exam, and experience requirements.

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An optometrist diagnoses and treats eye diseases and vision problems. They perform comprehensive eye exams to assess how well patients see and identify conditions like nearsightedness, farsightedness, and astigmatism. Optometrists prescribe corrective lenses and eyeglasses tailored to each patient's needs. They also diagnose common eye diseases such as glaucoma and cataracts, and in most states, they can prescribe medications to treat eye conditions. Regular patient consultations and precise diagnostic testing make up the core of their daily work.

The Exam
Two-part proctored test

The national board exam for optometrists is the uniform test most states accept. Many states add a jurisprudence exam on state statute.

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To become a licensed optometrist, you'll take an exam with two parts. The national section tests your clinical knowledge and core competencies. The state-law section covers regulations specific to your state. Most states contract with testing companies like PSI, Pearson VUE, or Prometric to administer the exam. You'll need to pass both sections to earn your license. Requirements vary by state, so check with your licensing board for specific pass scores and scheduling details.

Renewal
Keeping it active

Continuing education is required between renewals in every state. Most boards require a mix of general CE and topic-specific units like ethics, patient safety, or opioid prescribing.

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Optometrists must complete continuing education to renew their licenses. Requirements differ by state, but most boards mandate a specific number of CE hours per renewal cycle. Common required topics include ethics and state-specific laws.

Is This For You
Who fits this career

Strong candidates for the optometrist role combine the technical knowledge tested on the exam with judgment and communication skills you build through supervised experience.

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You'll need both technical precision and genuine patience with people. The work demands you interpret test results accurately, then explain what they mean in language your patients understand. You're comfortable with repetition. You stay calm when someone's anxious about their vision or frustrated by frame choices. You ask good questions, listen to answers, and adjust your approach based on what you hear. The best optometrists treat the exam room like a conversation, not a procedure.

Unlicensed Risk
Practicing without a license

Practicing as an optometrist without an active license is illegal in every state. Typical penalties include civil fines, forfeited income, and in some states criminal charges on repeat offenses.

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Practicing optometry without a license violates state law across the U.S. Consequences typically include civil fines and loss of any income earned while unlicensed. Some states impose criminal penalties for repeat violations, though these are generally limited sentences. The specific penalties vary by state and depend on whether it's a first or subsequent offense.

Career Outlook
+8% projected

Employment change 2024 to 2034. Flagged as a bright-outlook occupation.

The Path

How to Get a Optometrist License.

To get licensed, you'll follow a similar path across most states. First, complete accredited education in your field. Next, pass a national or state exam. You'll need supervised experience, typically ranging from several months to years depending on your state. A background check is standard. After licensing, you must complete continuing education before each renewal. Hour requirements, degree levels, and experience minimums differ by state, so check your specific state's rules.

1
Meet minimum education
Most states require graduation from an accredited optometrist program. Degree level and accreditation body vary by profession.
2
Complete supervised clinical hours
Boards set required supervised practice hours under a licensed supervisor. Hours are logged, verified, and submitted with your application.
3
Pass the national board exam
The national certification exam for optometrists is the uniform knowledge test most states accept. Some states add a jurisprudence exam on local statute.
4
Submit fingerprints and background check
Most boards collect electronic fingerprints through IdentoGO, Fieldprint, or a similar vendor and run a state and federal background check.
5
Apply for the license
Submit the state application with transcripts, exam scores, experience verification, and fees. Processing runs a few days to several months depending on state and board.
6
Pay fees and activate
Once approved, you pay the initial license fee, post any required bond or insurance, and the state issues your license number.
7
Track renewals and continuing education
Most licenses renew every one to three years with a set amount of continuing education. Missing CE or renewal deadlines risks license inactivation.
Timeline

How long it takes.

Background check and exam scheduling
2 to 6 weeks
License issuance after passing
Few days to several weeks
State processing times vary widely.
Cost Breakdown

What it costs out of pocket.

Required education
Degree program at an accredited institution. Varies massively by degree level.
$30,000 to $250,000
Application and license fee
Paid to the state board at submission. Varies widely by state.
$50 to $500
Fingerprint and background check
Flat vendor fee set by the state.
$40 to $120
Exam fee
Paid to the testing vendor when you schedule.
$50 to $400
Professional liability insurance
Annual policy. Required or strongly recommended in most states.
$300 to $2,500
DEA registration
Federal fee, three-year term. Required only for prescribers.
$0 to $900
Compensation

What Optometrists Earn.

National annual wage by percentile.

Bottom 10%
$70k
25th percentile
$103k
Median
$135k
75th percentile
$164k
Top 10%
$203k
Resources

Where to train, certify, and connect.

Optional next steps once your Optometrist license is active.

Core
Optometric Assistant Online National Certification
American Allied Health
Advanced
National Contact Lens Examiners Advanced Certification
American Board of Opticianry and the National Contact Lens Examiners
Specialty
Patient Encounters and Performance Skills
National Board of Examiners in Optometry
Specialty
Applied Basic Science
National Board of Examiners in Optometry
Specialty
Treatment and Management of Ocular Disease
National Board of Examiners in Optometry
Specialty
Patient Assessment & Management Exam
National Board of Examiners in Optometry
Advanced
Advanced Competency in Medical Optometry
National Board of Examiners in Optometry
Advanced
Diplomate, American Board of Optometry
American Board of Optometry
State vs State

Compare any two states.

Pre-license hours and fees vary widely. Pick two states to see the gap.

Left
Right
Varies
Pre-license hours
Varies
Varies
Exam fee
Varies
Varies
License fee
Varies
Board of Optometry
Issuing board
Texas Optometry Board
Frequently Asked

Questions people ask.

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