Top 10 hardest states to get licensed in for optometrists: 1. California – Requires the California Optometry Law Exam (CALE) and has detailed prescribing regulations. 2.\tFlorida – Historically required an additional in-person clinical state board exam beyond NBEO boards. 3.\tTexas – Requires a Texas Optometry Jurisprudence Exam on state laws and prescribing rules. 4.\tNew York – Requires additional certification for Therapeutic Pharmaceutical Agents (TPA) before prescribing many medications. 5.
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Top 10 hardest states to get licensed in for optometrists: 1. California – Requires the California Optometry Law Exam (CALE) and has detailed prescribing regulations. 2.\tFlorida – Historically required an additional in-person clinical state board exam beyond NBEO boards. 3.\tTexas – Requires a Texas Optometry Jurisprudence Exam on state laws and prescribing rules. 4.\tNew York – Requires additional certification for Therapeutic Pharmaceutical Agents (TPA) before prescribing many medications. 5.
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