$1 Million Optometry Practice Revenue Breakdown
- Yaopeng Zhou
- Jul 2
- 1 min read
Revenue Category | % of Revenue | Annual Revenue | Notes |
👁 Comprehensive Eye Exams | 15–20% | $150,000–$200,000 | Avg. fee: $100–$150/exam × volume |
👓 Optical (Eyeglass Sales) | 40–45% | $400,000–$450,000 | High-margin frames + lenses |
👁🗨 Contact Lenses | 10–15% | $100,000–$150,000 | Mostly recurring purchases |
💉 Medical Optometry (Dry Eye, etc) | 10–15% | $100,000–$150,000 | CPT codes billed to medical plans |
🧾 Specialty Services (Ortho-K, Myopia Mgmt) | 5–10% | $50,000–$100,000 | Depends on niche and patient base |
🧼 Ancillary Products (drops, vitamins) | 2–5% | $20,000–$50,000 | Add-on revenue |
🧑🤝🧑 Vision Therapy / Specialty Clinics | 0–5% | Up to $50,000 | Optional based on subspecialty |
Why the Eye Exam Is the Revenue Engine
1. It Drives All Other Revenue Streams
Every major income source starts with the eye exam:
Eyeglasses → Prescription given during exam
Contact lenses → Fit/eval must follow an exam
Medical visits → Diagnosed during exam (dry eye, glaucoma, diabetes)
Specialty services → Myopia management, ortho-K, referrals
Recall system → Based on eye exam intervals (1 year, 6 months, etc.)
Think of it as the "gateway service" that fuels everything downstream.
2. Predictable, Recurring Revenue
Patients return every 12–24 months
Many are covered by vision insurance, which boosts conversion
High volume + consistent flow = stability
Strategic Growth Tip:
Boost eye exam + recall = more exams → more glass sales.
Reduce no-shows and cancellations = protect productivity.
Add limited elective services = increase per-patient value.
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