Every state in the United States requires an eye exam in order to obtain a driver's license. The federal government has strict vision guidelines for commercial licenses, but each state has its own guidelines for non-commercial licenses, says the American Medical Association's Journal Of Ethics.
Guidelines vary widely from state to state. For example, Oregon has a limited-vision-condition program that allows people with significantly impaired vision to obtain a drivers license under certain conditions, says the Oregon Department Of Motor Vehicles website. Maryland, on the other hand, allows a vision specialist to submit the results of an applicant's vision test electronically. Applicants also may take a vision test at the Motor Vehicle Administration, the Maryland Motor Vehicle Administration website explains.