Creates new GS 90-118.5A, allowing licensed optometrists to perform optometry through telemedicine as long as they possess a valid license in the state. Clarifies that the optometrist does not need to be physically located in the state or licensed in another jurisdiction where they may be located while providing telemedicine services. Specifies that the authorization does not limit the authority of the North Carolina Board of Examiners in Optometry to pursue violations against licensed optometrists for violations, and that telemedicine does not alter the scope of practice or the applicable laws and rules for the practice of optometrists.

Directs the Board to adopt rules implementing the new section, including patient relationships, examination and diagnosis standard of care, and display of licensure and credentials.

Effective October 1, 2025.