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How much do certified ophthalmic assistant jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for certified ophthalmic assistant in Bothell, WA is $30.63, according to ZipRecruiter salary data. Most workers in this role earn between $24.47 and $34.66 per hour, depending on experience, location, and employer.

What is a certified ophthalmic assistant?

A certified ophthalmic assistant works alongside eye physicians, or ophthalmologists, offering medical and administrative support. Essential duties include administering eye exams, recording patient information, providing customer service, rooming patients, and cleaning exam rooms and equipment. Your responsibilities may also require that you give medications to patients, assist in surgical preparations, perform diagnostic tests, order medical supplies, and schedule patient appointments. Your professional certification develops your skills and allows you to work in hospitals, clinics, or private offices alongside professional eye doctors.

What are the key skills and qualifications needed to thrive as a certified ophthalmic assistant?

To thrive as a Certified Ophthalmic Assistant, you need a solid understanding of eye anatomy, basic clinical procedures, and typically a COA certification from the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). Familiarity with ophthalmic instruments, electronic medical records (EMR), and diagnostic testing equipment is essential. Excellent communication, attention to detail, and a compassionate demeanor are standout soft skills in this role. These competencies ensure accurate patient assessments, efficient workflow, and quality care in ophthalmology practices.

What are some common challenges faced by certified ophthalmic assistants in a clinical setting?

Certified Ophthalmic Assistants often encounter fast-paced environments where they must efficiently manage multiple patients and tasks simultaneously. Balancing administrative duties, such as scheduling and patient documentation, with hands-on clinical responsibilities like vision testing and assisting with procedures can be demanding. Adaptability and strong communication skills are essential, as they frequently collaborate with ophthalmologists, optometrists, and other healthcare staff to provide seamless patient care. Staying updated with evolving technology and procedures is also important for continued success in this role.

What is the difference between Certified Ophthalmic Assistant vs Ophthalmic Technician?

CriteriaCertified Ophthalmic AssistantOphthalmic Technician
CredentialsCertification (COA), high school diploma or equivalentCertification (COA or COT), some may have additional training
Work EnvironmentOptometry and ophthalmology clinics, outpatient settingsHospitals, clinics, specialized eye centers
Job ResponsibilitiesAssist with patient exams, perform basic tests, prepare patientsPerform diagnostic tests, assist with procedures, more technical tasks

Both Certified Ophthalmic Assistants and Ophthalmic Technicians work in eye care settings, often performing overlapping tasks. However, Ophthalmic Technicians typically have more advanced training and perform more technical procedures. The choice depends on the level of responsibility and specialization desired.

How much do certified ophthalmic assistants make in the US?

Certified ophthalmic assistants in the US typically earn a median annual salary of around $36,000 to $45,000. Salaries can vary based on experience, location, and certification level, with some earning higher with additional skills or in specialized settings.

Is a Certified Ophthalmic Assistant a good career?

A Certified Ophthalmic Assistant (COA) is a valuable healthcare professional who supports ophthalmologists by performing patient exams, assisting with procedures, and managing patient records. The role offers steady employment opportunities, requires certification through organizations like the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO), and often involves working in clinical or hospital settings with regular hours. It can be a good career choice for those interested in healthcare and eye care technology.

What can a certified ophthalmic assistant do?

A certified ophthalmic assistant performs preliminary eye tests, assists ophthalmologists with patient examinations, and manages patient records. They may also instruct patients on eye care and use specialized equipment, often working in clinical or surgical settings under supervision.
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Certified Ophthalmic Assistant jobs near you
Infographic showing various Certified Ophthalmic Assistant job openings in Bothell, WA as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $63,712 per year, or $30.6 per hour.

Certified Ophthalmic Assistant (COA)

Virginia Mason Medical Center

Kirkland, WA

$29.38 - $48.47/hr

Full-time

Re-posted 24 days ago

Job description


Job Summary and Responsibilities

As our Certified Ophthalmic Assistant (COA), you will provide comprehensive clinical and clerical support to Ophthalmologists/Optometrists, ensuring efficient practice operations. You will directly contribute to patient diagnosis through advanced ophthalmic testing and meticulous patient work-ups.

Every day you will manage patient greetings, histories, and vision testing, skillfully performing end-point refractions, pressure measurements, and a variety of advanced tests. You will also administer medications, educate patients, triage phone calls, and schedule appointments.

To be successful in this role, you will demonstrate advanced proficiency in ophthalmic testing and patient support. You will exhibit exceptional attention to detail, strong organizational skills, and a compassionate, patient-focused approach in a dynamic clinical setting.

Job Requirements

Required

  • JCAHPO Certified Ophthalmic Assistant (COA) or Certified Ophthalmic Technician (COT) required.
  • 1 year working in an optometry or ophthalmology practice required.

Working knowledge of anatomy, pharmacology, medical terminology, sterilization techniques, and basic eye care. Understanding of ophthalmic testing and the use of ophthalmic instruments and equipment. Basic skills in operating a computer and office equipment.


Strong interpersonal and customer relations skills; strong communication skills and organizational skills required. Ability to makechart documentation with entry into electronic medical record.

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Qualifications:

Required

  • JCAHPO Certified Ophthalmic Assistant (COA) or Certified Ophthalmic Technician (COT) required.
  • 1 year working in an optometry or ophthalmology practice required.

Working knowledge of anatomy, pharmacology, medical terminology, sterilization techniques, and basic eye care. Understanding of ophthalmic testing and the use of ophthalmic instruments and equipment. Basic skills in operating a computer and office equipment.


Strong interpersonal and customer relations skills; strong communication skills and organizational skills required. Ability to makechart documentation with entry into electronic medical record.

Employment Type: Full Time

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