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Degree/Certification
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MD
DO
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OD
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License Number
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State of License
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OE Tracker
How many years have you been in practice?
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--Select--
Currently in medical/optometry school
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0-5 years
6-10 years
11-20 years
21-30 years
More than 30 years
For MD/DO Only: Where is your primary surgery location?
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Surgeon-Owned Clinic
Corporate-Owned Clinic
Hospital-Owned Clinic
Private Hospital
Public Hospital
University Hospital
Retired or do not currently perform surgery
Other
Do not perform surgery
For OD Only: What describes your primary mode of practice?
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N/A
Solo private practice
Group OD private practice
Private practice, employed by an ophthalmologist
Retail optical chain / corporate-owned center
Academic/University
Hospital-based
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