VSP Ventures OCPP VSP Ventures Form Step 1 of 2 50% "I would like to enroll in the Ophthalmic Career Progression Program (OCPP), administered by the National Academy of Opticianry. I understand and agree that I am entitled to the complete OCPP course based upon successful completion of each Course exam, Final examination (receiving 80 percent or above on each) and payment of appropriate fees. Upon a certificate of completion. I further understand and agree that I have up to 36 months to complete the OCPP." Upon verification of eligibility, VSP Retail will make payments to the National Academy of Opticianry on my behalf as follows: Phase I: Payment of $400.00 will be made for Volume One, by VSP Expense Payables, to the National Academy of Opticianry. Phase II: Upon successful completion of Volume One Exam, payment of $500.00 will be made to the National Academy of Opticianry, by VSP Expense Payables, for the remaining Volume Two, Volume Three, Volume Four and Final Examination. Upon receiving this application, the National Academy of Opticianry will invoice VSP for the initial $400.00 payment on behalf of the student. However, no books or letters will be mailed to the student until the National Academy of Opticianry receives the initial $400.00 payment from VSP.Name* First Last Student Work Email* Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneAge:18 - 2425 - 3435 - 4445 - 5455 - 6465+How did you hear about the Career Progression Program?Your EmployerYour State BoardColleagueOnline ResearchOther Sponsor Name* First Last Sponsor's Email* Company State*Select OneCaliforniaNevadaOregonTexasPractice Number and Address*Select OneEyeZone #65001 | 9700 South McCarran Blvd / Reno, NV 89523EyeZone #65002 | 10583 Double R Blvd / Reno, NV 89521EyeZone #65003 | 535 South Arlington Avenue / Reno, NV 89509EyeZone #65004 | 448 South Maine Street / Fallon, NV 89406EyeZone #65005 | 276 Kingsbury Grade, Suite 103 / Stateline, NV 89449EyeZone #65006 | 911 Topsy Lane, Suite 236 / Carson City, NV 89705Family Eyecare Associates #65020 | 18601 Wedge Parkway, Suite 2B / Reno, NV 89511Family Eyecare Associates #65021 | 1965 Baring Blvd / Sparks, NV 89434Arlington Eye Center & Eyeglass Gallery #65025 | 500 West Plumb Lane, Suite A / Reno, NV 89509Practice Number and Address*Select OneEugene Eyewear #65032 | 207 Coburg Road, Suite 105 / Eugene, OR 97401Mount Hood Vision Center #65035 | 22640 SE Stark Street / Gresham, OR 97030Practice Number and Address*Select OneEye-Deal Vision #65042 | 8202 North Loop 1604 West, Suite 105 / San Antonio, TX 78249Eye-Deal Vision #65043 | 9822 Potranco Road, Suite 111 / San Antonio, TX 78251Eye-Deal Vision #65044 | 8010 5th Street, Suite 3 / Somerset, TX 78069Eye Trends #65046 | 6625 Spring Stuebner Road, Suite 215 / Spring, TX 77389Eye Trends #65047 | 1329 West Davis Street / Conroe, TX 78069Eye Trends #65048 | 4710 Louetta Road / Spring, TX 77388Eye Trends #65049 | 300 Northpark Drive, Suite 600 / Kingwood, TX 77339Eye Trends #65050 | 402 Sawdust Road / The Woodlands, TX 77380Eye Trends #65051 | 12710 West Lake Hous Parkway, Suite F / Houston, TX 77044Lockhart Vision #65052 | 1001 West San Antonio Street / Lockhart, TX 78644Elgin Vision #65053 | 1205 Highway 290 East / Elgin, TX 78621Manor Vision #65054 | 11300 US Highway 290 East, Suite 220 / Manor, TX 78653Buda Vision #65055 | 3310B Fm 967, Suite A108 / Buda, TX 78610Temple Vision #65056 | 2910 Market Loop / Temple, TX 76502Early Vision #65057 | 310 Early Blvd / Early, TX 76802Belton Vision #65058 | 2609 North Main Street / Belton, TX 76513Hewitt Vision #65059 | 502 North Hewitt Drive / Hewitt, TX 76643Kyle Vision #65060 | 5581 Kyle Center Drive, Suite 101 / Kyle, TX 78640Cove Vision #65062 | 98 Cove Terrace Shopping Center / Copperas Cove, TX 76522Killeen Vision #65012061 | 2806 SWS Young Drive, Suite A / Killeen, TX 76542Practice Number and Address*Select OneUniversity Optometry #65007 | 725 University Avenue / Palo Alto, CA 94301Redhawk Vision Center #65008 | 31573 Rancho Pueblo Road, Suite 101 / Temecula, CA 92592Norwalk Family Optometry #65009 | 12138 Firestone Blvd / Norwalk, CA 90650Brookside Optometric Group #65010 | 3133 West March Lane, Suite 2020 / Stockton, CA 95219Eastgate Optometry Care #65011 | 11893 Valley View Street / Garden Grove, CA 92845Redwood Shores #65012 | 303 Twin Dolphin Drive, Suite 122 / Redwood City, CA 94065Eagle Vision Eye Care #65013 | 5777 Greenback Lane, Suite 100 / Sacramento, CA 95841Eagle Vision Eye Care #65014 | 100 South Harding Blvd / Roseville, CA 95678Oak Tree Optometry #65015 | 11733 Fair Oaks Blvd / Fair Oaks, CA 95628Stanislaus Optometric Center #65016 | 4028 Dale Road, Suite 102 / Modesto, CA 95356Sacramento Optometric Group #65017 | 400 O Street, Suite 102 / Sacramento, CA 95814Golden Vision Optometry #65018 | 15333 Culver Drive, Suite 690 / Irvine, CA 92604Irvine Optometry #65019 | 17585 Harvard Avenue, Suite E / Irvine, CA 92614Axis Eye Optometric Group #65024 | 4810 Elk Grove Blvd, Suite 160 / Elk Grove, CA 95758Optometry on Orangethorpe #65026 | 7960 Orangethorpe Avenue / Buena Park, CA 90621NorthPointe Optometric Center #65027 | 1850 North Riverside Avenue, Suite 220 / Rialto, CA 92376Auburn Family Optometry #65028 | 3133 Professional Drive, Suite 14 / Auburn, CA 95603El Cerrito Optometry #65023 | 180 El Cerrito Plaza / El Cerrito, CA 94530Laguna Creek Optometry #65022 | 5050 Laguna Blvd, Suite 113 / Elk Grove, CA 95758Golden West Optometry (Orange) #65029 | 130 South Main Street, Suite F / Orange, CA 92868Golden West Optometry (Westminster) #65030 | 15068 Goldenwest Street / Westminster, CA 92683Del Amo Optometry #65031 | 4505 Sepulveda Blvd / Torrance, CA 90505Midtown Optometric Group #65033 | 2131 Capitol Avenue, Suite 107 / Sacramento, CA 95816Peninsula Family Optometric Group #65034 | 648 Jenevein Avenue / San Bruno, CA 94066Eye Center Optometric #65036 | 5959 Greenback Lane, Suite 130 / Citrus Heights, CA 95621Eye Center Optometric #65037 | 2200 Sunrise Blvd, Suite 120 / Gold River, CA 95670Eye Center Optometric #65038 | 421 Blue Ravine Road, Suite 300 / Folsom, CA 95630Eye Center Optometric #65039 | 6809 Five Star Blvd, Suite 100A / Rocklin, CA 95677Eye Center Optometric #65040 | 2831 J Street / Sacramento, CA 95816Scheffel Eye Care Center #65012065 | 4074 Hardwick Street / Lakewood, CA 90712Mountain View Optometry #65012066 | 495 Castro Street / Mountain View, CA 94041Manhattan Beach Vision Group #65067 | 946 Manhattan Beach Boulevard / Manhattan Beach, CA 90266Eyecare Specialist of Chino Valley Optometry #65069 | 5385 Walnut Avenue / Chino, CA 91710Alplert Vision Care #65070 | 20929 Ventura Boulevard, Suite 23 / Woodland Hills, CA 91364Japantown Optometry #65073 | 214 Jackson Street / San Jose, CA 95112Sponsor's Credentials* Master in Ophthalmic Optics American Board of Opticianry certified (ABO) Opticianry State Licensed Ophthalmologist (MD) Optometrist (OD) Other NameThis field is for validation purposes and should be left unchanged.
