Optometry Practice Start Up Costs: How to Build a Profitable Practice with Recurring Revenue

February 22, 2025
Written by: Jordon Comstock

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So, You Want to Open an Optometry Practice? Here’s What They Don’t Tell You.

Let’s talk about optometry practice start up costs – Let’s cut through the fluff—starting an optometry practice is EXPENSIVE.

You’ve got dreams of running your own office, setting your own hours, and finally breaking free from corporate chains… until you see the price tag.

Average cost to open an optometry practice? $300,000 – $500,000+.
Need top-tier equipment? That’ll be $100K+ just for a retinal scanner.
Want a great location? Hope you’ve got $50K+ for leasehold improvements.

And let’s not forget…

Payroll for staff.
Marketing to attract new patients.
Inventory for your optical shop.

Feeling overwhelmed? Good. Because today, I’m going to show you how to launch & scale a profitable practice WITHOUT relying on insurance companies & inconsistent cash flow.

The secret? A patient membership plan.

Keep reading to learn how you can:
Reduce financial risk with predictable recurring revenue (MRR & ARR).
Increase optical sales & patient loyalty.
Escape insurance dependence & take control of your revenue.

Let’s break it down.


The Hidden Costs of Starting an Optometry Practice

Meet Dr. Jessica Adams.

She spent eight years in school, $200K+ on student loans, and another $400K opening her dream optometry practice.

Everything seemed great—until she realized:
Her overhead was INSANE.
Insurance reimbursements were slow & unpredictable.
Her optical shop wasn’t selling enough to stay profitable.

Dr. Adams was drowning in expenses and needed a way to generate predictable, recurring revenue. That’s when she discovered membership plans.

And everything changed.


Offer: What Does It Really Cost to Start an Optometry Practice?

Before we talk solutions, let’s break down the real costs of opening a practice.

Start-Up Costs Breakdown

Expense Category Estimated Cost
Leasehold Improvements $50,000 – $150,000
Optometry Equipment $100,000 – $250,000
Furniture & Fixtures $15,000 – $40,000
Technology & Software $10,000 – $30,000
Inventory (Frames, Lenses, etc.) $20,000 – $50,000
Marketing & Branding $5,000 – $20,000
Payroll for Staff (First 6 Months) $75,000 – $150,000
Legal & Licensing Fees $5,000 – $15,000
Emergency Fund $25,000+

Total: $300,000 – $500,000+ to launch a successful practice.

That’s a LOT of money—especially when you’re waiting for insurance reimbursements to trickle in months later.

Solution? Build a patient membership plan.


How a Membership Plan Creates Recurring Revenue & Stability

Instead of hoping patients return once a year and insurance companies actually pay you, you can:

Offer a membership plan for $20-$50/month.
Provide routine eye exams & discounts on frames/lenses.
Generate predictable monthly recurring revenue (MRR).

Why This Works:
✔️ Patients without insurance get affordable care.
✔️ You get steady income—NO MORE insurance nightmares.
✔️ Members are 2X-4X more likely to buy glasses & contacts.

How much could you make?

If you sign up just 500 members at $30/month…
That’s $15,000/month in guaranteed revenue (MRR).
That’s $180,000/year in additional revenue (ARR).

And that’s BEFORE selling glasses, contacts, or additional treatments!

Want an easy way to manage memberships? Check out BoomCloud™ Click Here


 How One Optometrist Added $500K in Recurring Revenue

Dr. Adams was struggling to cover overhead and getting crushed by insurance delays.

What She Did:

✔️ Launched a BoomCloud™ membership plan for uninsured patients.
✔️ Offered a 15% discount on frames & lenses for members.
✔️ Marketed the plan through direct mail & email campaigns.

Results in 12 Months:

1,800 patients joined her membership plan.
MRR hit $45,000/month.
ARR grew to $540,000/year.

Now, Dr. Adams has predictable, recurring revenue—and her practice is thriving.

Want the same results? Check out BoomCloud™


Final Thoughts: The Smartest Way to Fund & Scale Your Optometry Practice

Opening an optometry practice is one of the biggest investments you’ll ever make. But it doesn’t have to be a financial rollercoaster.

Here’s Your Action Plan to Reduce Risk & Increase Profitability:

Step 1: Analyze Your Costs & Create a Financial Plan.
Know exactly what you’ll spend before launching.

Step 2: Launch a Membership Plan to Create Predictable Cash Flow.
Sell recurring eye care memberships & boost optical sales.

Step 3: Use BoomCloud™ to Manage Your Membership Program.
Automate billing, renewals, and revenue tracking.

More revenue. More financial stability. Less stress.

Ready to build a membership plan that scales? Check out BoomCloud™ and start making your practice profitable & insurance-free.


Resources & Further Reading:

BoomCloudApps.com – The #1 tool for launching & managing optometry membership plans.
AOA (American Optometric Association) – Industry trends & insights on running a practice.
Vision Monday – Expert tips for growing a profitable optical business.

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Membership Plans For Optometrists

vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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