NAO%20CE%20Live%20Saturday%20-%20December%203,%202022

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Name and Professional Information
First Name*
Last Name*
Profession
Credentials
Age
Number of patients seen per week
Number of years in the profession?
Certificate Name*
Email*
Enter Email Confirm Email
Mobile Phone*
Send you text messages regarding this event?
- Yes
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OE Tracker #:
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State of Licensure1
License Number1
State of Licensure2
License Number2
State of Licensure3
License Number3
State of Licensure4
License Number4
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National Academy of Opticianry Membership*
- Yes, I am a member of NAO.
- No, I am not a member of NAO.
Demographics
Address*
Address2
City*
State / Province*
Zip Code*
Country*
How did you find out about this event?
- Email
- Social Media
- Colleague/Friend
- Other
How did you find out about this event? OTHER?
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I understand this CE is approved by FL CE BROKER but is NOT COPE-approved.*
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I understand that my webcam must be active during all sessions and that I will be visible to all panelists and attendees. (Florida Board Requirement)*
I approve contacting me by text message (optional)
- Yes
In an effort to provide timely and important info regarding this event, I approve SECO sending text messages to my mobile device.
I approve my contact information (including email address) being provided to the grantors/sponsors of this event for reporting and marketing purposes.
- Yes
NPI Number