(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;
(6)
verification of having passed the National Board of Examiners in Optometry
(NBEO) examination, sent directly to the department from the NBEO.
(7) if the applicant holds a valid federal
Drug Enforcement Administration registration number, verification that the
applicant has completed with the requirement for education in pain management
and opioid use and addiction under
as
08.72.181(d);
(8) verification that the applicant
has completed a nontopical therapeutic pharmaceutical agent injection course of
at least seven hours approved by the board, or equivalent training acceptable
to the board, taken after graduating from optometry school.
