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Ophthalmic Medical Technician

$45,570
median / year
$35,700 – $61,940
what most earn per year (10th–90th percentile)

What the job actually is

Assist eye doctors by running vision tests, taking measurements, and preparing patients for exams.

You may also see this posted as: Certified Ophthalmic Surgical Assistant, Certified Ophthalmic Technician (COT), Ophthalmic Assistant, Ophthalmic Tech (Ophthalmic Technician), Certified Ophthalmic Medical Technician (Certified Ophthalmic Medical Tech), Certified Ophthalmic Technician-Surgical Assistant (COT-SA).

Where you work

Eye clinics and ophthalmology offices

The hours

Full-time, mostly weekday

The day to day

What you'd actually spend time doing

  • Take and document patients' medical histories.
  • Conduct tonometry or tonography tests to measure intraocular pressure.
  • Operate ophthalmic equipment, such as autorefractors, phoropters, tomographs, or retinoscopes.
  • Take anatomical or functional ocular measurements of the eye or surrounding tissue, such as axial length measurements.
  • Measure visual acuity, including near, distance, pinhole, or dynamic visual acuity, using appropriate tests.

Good fit if you like…

Realistic

working with tools, equipment, materials, or the physical world

Investigative

solving problems, analyzing evidence, and figuring out how things work

Social

helping, teaching, caring for, or supporting other people

O*NET job zone 3 of 5

Medium preparation—often vocational training, an associate degree, or substantial experience—is usually needed.

Work styles that matter most

Attention to DetailDependabilityCautiousnessStress Tolerance

Software that shows up in the work

Examples employers report—not a checklist you must already know.

Microsoft ExcelMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft WordAcuityPro

By the numbers

May 2025 BLS wage & employment data · 2024–34 BLS employment projections.

Median pay
$45,570
per year
Hourly median
$21.91
per hour
What most earn
$35,700–$61,940
yearly, 10th to 90th percentile
Openings a year
~12,500
projected, 2024–34
Outlook to 2034
+19.8%
Much faster than average
Working in the U.S.
71,010
people, nationwide

Openings a year counts new jobs plus the ones that open when people retire or move on — a truer picture of your odds than growth alone.

“Median” means half earn more and half earn less. Your city, employer, and years on the job move it a lot — that is what the 10th-to-90th range shows.

BLS estimates 0.7% of workers in this occupation are self-employed.

What it pays in your state

Statewide medians are a better starting point than the national number. Your city and experience still matter.

BLS state wage tables

How you get in

Typical starting education

Certificate program

Training path: Certificate or on-the-job training.

Related work experience: None.

On-the-job training: None.

License or certification

No license required, though JCAHPO certification is common and often preferred.

You can earn while you train. This field has a genuinely paid pathway in — an apprenticeship, a paid academy, or employer-funded training — so you draw a paycheck instead of taking on debt to learn it.

Check the path where you live

Licensing rules and available programs change by state. These federal tools take you to the current official listings.

What it takes

Vision testingPatient careEye anatomyAttention to detail

The honest take

A fast-growing eye-care support role you can enter without a four-year degree.

Standard Occupational Classification 29-2057. Pay and employment from the BLS May 2025 OEWS survey; outlook and openings from the 2024–34 employment projections; tasks, interests, work styles, software examples, and job zone from O*NET 30.3. See something off? Tell us.