New Application Payment v1.0

Welcome to a convenient way to pay for your application for an Optometry license in Kansas.

You will need to have your check or credit card account information available to complete the payment process. The examination fee is $150.00. There will also be a small processing fee added to the examination fee to cover the cost of processing your payment online (credit card $7.00, e-check $3.00).

You will need to complete the application form seperately from this payment. Mail the completed application form and required documents to:

KSSBEO
3109 W 6th St 
Suite B
Lawrence KS 66049

 

 

 

Name and Address

Enter the name and address you have submitted with your paper application.

Required Field
Required Field
Required Field
Required Field
Required Field
Contact Information

Enter the best telephone and e-mail address to contact you.

Required Field example: 555-555-5555
Required Field
Payment Information

Payment Amount Due

Required Field