Opthalmologists diagnose and treat disease of the eyes. An optometrist can perform an opthalmological exam but cannot prescribe medicine nor practice eyeball surgery.
optician ɒpˈtɪʃ(ə)n/Submit nounBRITISH a person qualified to prescribe and dispense glasses and contact lenses, and to detect eye diseases ( ophthalmic optician ) or to make and supply glasses and contact lenses ( dispensing optician ). US a dispensing optician.
There are some good reasons one requires a professional prescription from eyeglasses; if you wear the wrong lenses for any length of time, it can screw up your eyesight. Although the effect is commonly temporary it _can_ be debilitating.
So a dispensing optician would be someone who sells eyeglasses, given a prescription from an optometrist or an opthalmologist.
It is quite definitely the case that opticians make telescopes. From time to time I call myself an astronomical optician. I don't grind glass much anymore but I am quite good at making astronomical telescope optics.