Section 12.48.020. License by credentials.

	(a)  The board will issue a license by credentials to practice optometry, with the prescriptive authority as described in AS 08.72.272, to an applicant who meets the requirements of AS 08.72.140, AS 08.72.170, and this section.  
	(b)  An applicant for a license under this section must submit  
		(1) a complete and notarized application on a form provided by the department;  
		(2) the applicable fees required by 12 AAC 02.300;  
		(3) an affidavit certifying at least 3,120 hours of active licensed clinical practice experience in optometry at the highest therapeutic level authorized by the licensing authority in their jurisdiction not earlier than the three years immediately preceding the date of application, signed by a licensed health care professional who is familiar with the applicant's practice; the board may require further documentation verifying the 3,120 hours of active licensed clinical practice;  
		(4) the completed Alaska State Optometry Law examination required in 12 AAC 48.015(3).  
	(c)  In addition to the requirements of (b) of this section, an applicant for a license under this section shall arrange for and ensure the submission of the following:  
		(1) college transcripts verifying graduation from a recognized school or college of optometry, sent directly to the department from the institution;  
		(2) verification from all licensing jurisdictions in which the applicant holds or has ever held a license to practice optometry showing that the applicant's license has not been the subject of any disciplinary action and that there are no pending or unresolved actions against the applicant, sent directly to the department from the licensing jurisdiction;  
		(3) verification that the applicant has successfully completed all the requirements for, and, received a license to practice optometry from another state or territory of the United States or from a province of Canada that required the applicant to have passed the National Board of Examiners in Optometry (NBEO) examination, sent directly to the department from the licensing jurisdiction;   
		(4) verification from a licensing jurisdiction in another state or a territory of the United States or in a province of Canada, showing that the applicant holds a current active license to practice optometry, sent directly to the department from the licensing jurisdiction;  
		(5) if the applicant is, or has ever been, employed as an optometrist with a federal agency, verification of the applicant's current employment status and disciplinary history from each federal agency where the applicant is, or has been, employed as an optometrist;  
		(6) verification of having passed the National Board of Examiners in Optometry (NBEO) examination, sent directly to the department from the NBEO.  

Authorities

08.72.050;08.72.110;08.72.170;08.72.272

Notes

Reference

12 AAC 48.015
12 AAC 48.035

Authority

AS 08.72.050 AS 08.72.110 AS 08.72.170 AS 08.72.272

History

Eff. 9/17/2003, Register 167; am 4/11/2008, Register 186; am 7/19/2009, Register 191; am 10/16/2011, Register 200; am 12/2/2012, Register 204