Optometry Faculty Certificate

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Optometry Faculty Certificate

Apply for a License

Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for an Optometry Faculty Certificate.

During the 1986 Legislation, Chapter 463, Florida Statutes, was amended requiring anyone applying for an Optometrist license to become a Certified Optometrist. The new law required the applicant to meet additional education and examination requirements.

Requirements
General Requirements

The requirements for an Optometry Faculty Certificate are as follows. Applicants must:

  1. Be at least 21 years of age.
  2. Have graduated from a board-approved school or college of optometry which is accredited by a regional or professional accrediting organization that is recognized and approved by the Commission on Recognition of Postsecondary Accreditation or the United States Department of Education.
  3. Hold a valid current license to practice optometry in another jurisdiction of the United States.
  4. Have been offered and accepted a full-time faculty appointment to teach in a program of optometry at a Florida-based College of Optometry.
  5. Have an appointment letter from the dean of the college showing acceptance of the offer of the full-time faculty appointment to teach at the Florida-based College of Optometry.
  6. Have an appointment letter from the dean of the college showing acceptance of the offer of the full-time faculty appointment to teach at the Florida-based College of Optometry.
Applicants with Health History

If a “Yes” response is provided to any of the questions in the health history section, provide the following documents directly to the board office:

A letter from a Licensed Health Care Practitioner, who is qualified by skill and training to address the condition identified, which explains the impact the condition may have on the ability to practice the profession with reasonable skill and safety. The letter must specify that the applicant is safe to practice the profession without restrictions or specifically indicate the restrictions that are necessary. Documentation provided must be dated within one year of the application date.

A written self-explanation, identifying the medical condition(s) or occurrence(s); and current status.

Applicants with Criminal History

Applicants with prior criminal convictions are required to submit the following:

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Self-Explanation – Applicants who have listed offenses on the application must submit a letter in their own words describing the circumstances of the offense. Include in your letter the date of the original offense, the charge, and the jurisdiction where it occurred.

Applicants with Discipline History

Applicants with prior disciplinary actions are required to submit the following:

Board Actions – Certified copies of document(s) relative to any disciplinary action taken against any license. The documents must come from the agency that took the disciplinary action and must be certified by that agency.

Self-Explanation – A detailed description of the circumstances surrounding your disciplinary action and a thorough description of the rehabilitative changes in your lifestyle since the time of the disciplinary action which would enable you to avoid future occurrences. It would be helpful to include factors in your life, which you feel may have contributed to your disciplinary action, what you have learned about yourself since that time, and the changes you have made that support your rehabilitation.

Health Care Fraud, Disqualification of Licensure, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    1. For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    2. For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    3. For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Process

Submit completed application and fees to the board office. Select the “Apply Online” button above.

If you prefer to apply using the paper application, please download, print and complete the paper application and submit along with your fees to the address listed below:

Florida Board of Optometry
P. O. Box 6330
Tallahassee, FL 32314-6330

Within 7-14 days of receipt of your application, the board office will notify you of the status of your application and any remaining required documents that needs to be submitted.

Once you have submitted your application you can check the status online. Select “Status” from the menu on the top right hand side of this page.

The following documents are required in order to complete your application:

  1. Have official final transcripts mailed directly from your college or university to the board office at the address provided below:
    Florida Board of Optometry
    4052 Bald Cypress Way, Bin # C 07
    Tallahassee, FL 32399-3257
  2. Contact the state licensing office in each state in which you currently hold or have ever held a license and request licensure verification to be sent directly to the board office.
  3. Contact the dean of the college requesting that they submit an appointment letter indicating that you’ve accepted an offer of a full-time faculty appointment to teach at the Florida-based College of Optometry.
  4. If you responded “yes” to any of the Health History questions on the application, submit a letter to the board office providing the relevant dates and circumstances of your treatment and/or addiction and include the names and addresses of the medical practitioners or hospitals that performed your treatment.
  5. If you responded “yes” to any of the Discipline History questions on the application, contact the state board where the discipline occurred to request that certified copies of the board order and any other documents relative to the disciplinary action be submitted directly to the board office.
    You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.
  6. If you responded “yes” to any of the Criminal History questions on the application, contact the clerk of courts in the jurisdiction in which the offense occurred and request that a certified copy of your final/official court disposition be mailed directly to the board office. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

If applicable, request for the following documentation to be sent directly to the board office: a certified copy of your completion of probation and documentation showing that you have paid all fines. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.

Note: All applications with Criminal History, Discipline or Health History will be presented to the board for review. Board staff will notify you of the date that your application will be presented in the event you would like to attend.

Upon receipt of all required documentation, completed applications are presented to the board chair for review and approval.

Fees

Make certified check or money order payable to the Florida Department of Health

Application fee – $100.00 (non-refundable)
Licensure fee – $100.00
Unlicensed Activity fee – $5.00

TOTAL FEE – $205.00

Make certified checks or money orders payable to: “Department of Health” (DOH); or pay by credit card when applying online.

Statutes and Rules

Click on Chapter or Section Number to View

Florida Statutes

Chapter 456: Health Professions and Occupations: General Provisions
Chapter 463: Optometry Practice Act
Section 463.0057: Optometric faculty certificate
Chapter 120: Administrative Procedure Act
Chapter 119: Public Records
Chapter 408: Health Care Administration
Chapter 112: Public Officers and Employees: General Provisions

Florida Administrative Code

Title 64B13: Board of Optometry

Processing Times

Florida law provides that an initial application must be reviewed within 30 days. Below is the average number of days at which we are currently processing.

Apply Online / Return to Login

To apply online visit MQA Services Portal to create an account or return to your account by clicking the button below.

Renew Your License

Click on the appropriate tab below to see the Renewal Requirements, Process, Fees and Continuing Education (CE) for an Optometry Faculty Certificate.

Requirements

Approximately 90 days prior to your license expiration, board staff will mail your renewal form.

Licensees requesting to reactivate their license from inactive or retired status are required to pay additional fees and comply with specific continuing education requirements. Please contact the board office at info@floridasoptometry.gov to request your reactivation requirements.

The department will process your renewal request upon receipt of:

  1. Completed renewal form
  2. Required renewal fees
  3. Verification of optometrist license
Process
Renewal Process

Approximately 90 days prior to your license expiration date, the board office will mail you a copy of your renewal application letter.

In order to renew your optometry faculty certificate, you must:
  1. Complete and submit the renewal application along with your fee and letter from the dean of the school/college in which you will be teaching. Mail your application, fee and letter to:Florida Board of Optometry
    P. O. Box 6330
    Tallahassee, FL 32314-6330 
  2. You must have your current optometrist license(s) verified. Contact the State licensing authority in each State in which you currently hold a license and request verification of your optometrist license be sent directly to the Florida board office. If you are licensed in Florida the board office will verify your Florida license.

Licensure verification is required by Section 463.0057, Florida Statutes, which requires that the applicant hold a valid license in any other jurisdiction and has not committed any acts or offenses that would constitute the basis for disciplinary action.

Licensure verification(s) must be mailed to:


Florida Board of Optometry

4052 Bald Cypress Way, Bin # C 07
Tallahassee, FL 32399-3257

Note: If your state is able to verify your license electronically, please have your verification sent to info@floridasoptometry.gov 

Upon receipt of all required documentation, board staff will review and process your request. If any additional information is required you will be notified.

Information for requesting a Name Change

Name changes require legal documentation showing the name change. Please submit a request including your full name as it appears on your license, profession, license number, your new name, your date of birth, the last four digits of your social security number, and your signature. Attach supporting documents, which must be one of the following:

  • a copy of a state issued marriage license that includes the original signature and seal from the clerk of the court
  • a divorce decree showing the name change
  • a court order showing the name change (adoption, legal name change, federal identity change)

Any one of these will be accepted unless the department has a question about the authenticity of the document. A social security card is not considered legal documentation.

Please Note: The last four digits of the SSN are requested as required by DOH Policy Number DOHP 385-LS05-12 Name Changes for Existing Licensees, which was established for security purposes due to past instances of fraudulent activity.

Fees

Make certified check or money order payable to the Florida Department of Health

Renewal Fee$105.00
Statutes and Rules

Click on Chapter or Section Number to View

Florida Statutes

Chapter 456: Health Professions and Occupations: General Provisions
Chapter 463: Optometry Practice Act
Section 463.0057: Optometric faculty certificate
Chapter 120: Administrative Procedure Act
Chapter 119: Public Records
Chapter 408: Health Care Administration
Chapter 112: Public Officers and Employees: General Provisions

Florida Administrative Code

Title 64B13: Board of Optometry

Renew Online

To renew online visit the MQA Services Portal by clicking the button below.