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Title: Professional Firm Registration
Alternate Title:
Description: Minnesota Board of Optometry
Subject: Optometry
Professionals
Creation Date: 9/11/2008 2:15:46 PM
Modification Date: 9/12/2019 4:20:21 PM
Agency Name: Optometry, Minnesota Board of
Agency URL: https://mn.gov/boards/optometry/
Agency Description: The Minnesota Board of Optometry promotes public interest in receiving quality optometric health care from competent licensed optometrists. The Board also protects the public by setting standards for optometric health care and ensuring licensed optometrists meet the legal requirements.
Agency Phone: 651-201-2762
Agency Fax: 651-201-2763
Agency URL: https://mn.gov/boards/optometry/
Agency Address: Optometry, Minnesota Board of
2829 University Avenue S.E., Suite 403

Minneapolis
MN 55414

Division Name: Randy Snyder
Division URL:
Division Description:
Division Phone: Division Fax: Division URL:
Audience: Application URL:
Renewal URL:
Versa URL:
Requirements:

Minn. Stat. Chapter 319B states that no professional firm may furnish professional services within Minnesota until the firm has filed information with each Board having jurisdiction over the pertinent professional services. Minn. Stat. Chapter 319B also requires every professional firm to file an annual report on or before January 1st of each year, with the Board that has jurisdiction over the professional service the firm is authorized to render. Forms are found under Forms & FAQs

Initial Report: Complete the Professional Firm Registration-Initial Report form. The form must be completed and signed, under oath, by a professional who is an owner or employee of the professional firm, who is licensed to practice optometry in Minnesota and who is duly authorized to make the statements on behalf of the professional firm.  

This form serves as your first annual report. Return the completed form along with a $100.00 filing fee and a copy of the firm’s organizational document, Certificate of Authority, or Statement of Qualification. 

Annual Report: Minn. Stat. Chapter 319B provides that every professional firm shall file an annual report on or before January 1st of each year. The report must be filed with the Board that has jurisdiction over the professional service the firm is authorized to render.  

Complete the Professional Firm Registration-Annual Report form each year. The form must be completed and signed, under oath, by a professional who is an owner or employee of the professional firm, who is licensed to practice optometry in Minnesota and who is duly authorized to make the statements on behalf of the professional firm.  

Return the form along with a $25 filing fee and a copy of any changes since your last filing to the firm’s organizational document, certificate of authority, or statement of qualification. 

For more information on the Professional Firms Act, Minn. Stat. Chapter 319B

Refer to Professional Firm Registration Initial Report to Board of Optometry


Rules:
Statutes: 319B

Forms:

Professional Firm Registration Initial Report to Board of Optometry


Application forms are available from the Board and are available at Forms & FAQs


Fees:

$100

$25 annual renewal.



Period of Issuance:

Annual


Length of Determination:
Other Info:



Activity: Optometry
License Detail URL:

Professional Firms

Optometry, Minnesota Board of 


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