NBEO® - Credentialing Verification

The NBEO-Board Certification Program was discontinued on February 1, 2019 due to low participation. As a result of this, verification of previous Board Certifications are no longer available.


	Request for Employer to Receive Candidate's NBEO Exam Verification

1. Requesting Agency Information

Agency:
Contact Name:
Address:
City:
State:
Country:
Zip:
Email:
Phone:
Fax:

2. Information for Optometrist Credentialing Requested

Full Name:
OE Tracker No.:
Date of Birth:	(mm/dd/yyyy)
School/College:
Start Year:
End Year:

* For step 3, PLEASE DOWNLOAD AND COMPLETE the official NBEO credentialing form *

3. Click here to Download and fill out Release Form.