Request for Additional Practice Location


  • Request for Additional Practice Location/Duplicate Certificate

  • Date Format: MM slash DD slash YYYY
  • Drop files here or
    Accepted file types: jpg, jpeg, png, doc, docx, pdf.
    Maximum File Size limit 10 MB
  • Price: $200.00 How many Additional Locations/Duplicate Certificates are you requesting?
    PLEASE ENTER THE NUMERAL "1" HERE. You must complete one form for each new location
  • Paying online? The Optometry Board accepts Visa. Mastercard and American Express via its website at If paying by mail, please make all checks to the Nevada State Board of Optometry and mail them to P.O. Box 1824, Carson City, NV 89702.

    Please allow 30 days to receive a renewal/new location card from the board. Your renewal/location card must be displayed with your Certificate. Duplicate License Certificates may require up to 60 days.

  • Price: $0.00
  • $0.00
  • Date Format: MM slash DD slash YYYY
  • American Express
  • NOTE: To avoid the processing fee, payments may be made by mail, enclosing a check payable to NV State Board of Optometry, noting the purpose of the payment and the name of the license. However, the Board prefers that all applications, documents or forms be submitted electronically. No submissions will be processed or deemed submitted until payment has been received.
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