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The Health Technician (Optometry) at the US Department of Veterans Affairs performs complex optical duties, measurements, fittings and eyewear services, while supporting licensed eye care providers in the clinic. It includes dispensing, repairs and patient education to ensure accurate eye care delivery.
The role may require meeting federal requirements, with GS-04 to GS-07 levels and progressively expanded knowledge of eye anatomy, refractive measurements, and patient communication in a clinical
The Health Technician (Optometry) performs a range of standard, but complex, optical duties, diagnostic ophthalmic procedures, and patient education. This includes extensive optical duties to include performing glasses measurements, fittings, ordering, dispensing, adjusting, and repair of ophthalmic lenses and eyewear. They are responsible for generating important and complex diagnostic procedures to produce information to be used by the eye clinic licensed providers with whom they work. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Experience. None beyond the basic requirements.
Experience. One year of experience equivalent to the next lower grade (GS-4).
Demonstrated Knowledge, Skills and Abilities (KSA). In addition to the experience above, the candidate must demonstrate the following KSAs:
(a) Knowledge of basic eye anatomy and function.
(b) Ability to obtain, document and record ophthalmic and medical information from patients in order to develop an accurate electronic progress note.
(c) Ability to practice basic hygiene and infection control in a patient care setting.
(d) Ability to follow eye clinic and patient care medical policies and procedures.
(e) Ability to perform minor eyeglasses repairs, such as replacing nose pads and screws.
Experience. One year of experience equivalent to the next lower grade (GS-5).
Demonstrated Knowledge, Skills and Abilities (KSA). In addition to the experience above, the candidate must demonstrate the following KSAs:
(a) Ability to provide patient education for eye health and/or vision conditions, to include assisting with patient contact lens insertion, removal and hygiene (cleaning and disinfection) care.
(b) Ability to accurately enter into a phoropter the autorefractometry or habitual refractive prescription (i.e., eyeglasses prescription) or lensometer findings, including sphere, cylinder and axis.
(c) Ability to perform patient spectacle fitting and dispensing, including selection of appropriate frame, ophthalmic lenses, interpupillary measurements (distance and near) and proper segment height determination, as well as the ability to transpose sphere, cylinder and axis.
(d) Ability to provide basic triage of patient telephone calls or optometry requests.
(e) Knowledge of ophthalmic medications and supplies needed in the process of restocking the eye clinic exam rooms.
Experience. One year of experience comparable to the next lower level (GS-6) which demonstrates the knowledge, skills and abilities related to the duties of the position to be filled.
Demonstrated Knowledge, Skills and Abilities (KSA). In addition to meeting the experience or educational requirements for this grade level, the candidate must fully demonstrate the following KSAs:
(a) Ability to determine preliminary objective estimate and/or refinement of the optical status of the eye, not to include the patient's final subjective refraction.
(b) Ability to triage and manage eyeglasses issues (e.g., measurement of vertex distance, base curve, prism correction, center thickness, slab off, Fresnel prism, decentration, etc.).
(c) Ability to perform accurate assessment of accommodation, near point of convergence and ocular alignment (far and near).
(d) Ability to assist the eye care provider (optometrist or ophthalmologist) with ophthalmic procedures.
(e) Ability to assist with obtaining accurate ocular cultures and smears.
(f) Knowledge and ability to provide advanced patient education for eye health and/or vision conditions.
https://www.va.gov/ohrm/QualificationStandards/
The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7.
There are no physical requirements for this occupation per OCHCO Communications email to VA Handbook 5019, updated on 4/17/2026.