201 KAR 5:010. Application for licensure; endorsement.

      RELATES TO: KRS 320.220, 320.250, 320.270

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

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 320.220 requires all persons who practice optometry in this state to be licensed by the Ky. Board of Optometric Examiners. KRS 320.250 establishes criteria for an applicant to apply for a license. KRS 320.270 grants the board the discretion to admit to practice in Kentucky. Persons licensed to practice optometry in other states. This administrative regulation prescribes the procedures to be followed in making application to 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. (1) A person whose license has been revoked pursuant to KRS 320.280(3), may apply for reinstatement of his or her license.

      (2) A person applying for reinstatement shall furnish the following documentation to the board:

      (a) Evidence of completion of the continuing education requirements established in 201 KAR 5:030; except that an optometrist whose license has been revoked pursuant to KRS 320.280(3) shall obtain the annual continuing education requirement for each year, or any portion of a year, that the license was not renewed up to a maximum of sixty (60) hours; and

      (b) Payment of the annual renewal fee established in 201 KAR 5:090, Section 2.

      (c) The renewal fee for an optometrist whose license has been revoked pursuant to KRS 320.280(3), shall be $200 for each year, or any portion of a year, that the license was not renewed.

      Section 4. Incorporation by Reference. (1) The following material is incorporated by reference:

      (a) "Application For License To Practice Optometry (July 6, 2000 edition)"; and

      (b) "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, 2624 Research Park Drive, Suite 305, Lexington, Kentucky 40511, 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; 32 Ky.R. 1142; eff. 3-2-06.)