A. Optometrists licensed by the board must annually, upon renewal of licensure, provide the following information to the board through the reporting system provided by the board:

1. Any disciplinary action taken against a Virginia licensed optometrist by another state;

2. Any voluntary surrender of a license in another state while under investigation;

3. Any disciplinary action taken against a Virginia licensed optometrist by a federal health institution;

4. Any malpractice judgment or settlement against a Virginia licensed optometrist, including the year the judgment or settlement was paid, the amount of the judgment or settlement, and the city, state, and country in which the judgment or settlement occurred; and

5. Any evidence that indicates a reasonable belief that a Virginia licensed optometrist is or may be professionally incompetent, has or may have engaged in intentional or negligent conduct that causes or is likely to cause injury to patients, has or may have engaged in unprofessional conduct, or may be mentally or physically unable to engage safely in the practice of his profession.

B. Failure to provide information required by subsection A annually may constitute a violation of provisions of law relating to the practice of optometry and may subject the licensee to disciplinary action by the board.

C. Intentionally providing false information to the board through the reporting system shall constitute a violation of provisions of law relating to the practice of optometry and shall subject the licensee to disciplinary action by the board.