Optometry Practice Ownership: How to Build a Profitable, Predictable Revenue Machine

August 11, 2025
Topics: Vision
Written by: Lisa Rasmussen

“Owning an optometry practice should feel like freedom — not like you’re chained to the phoropter.”

Let’s be real:
The dream of optometry practice ownership often comes with the ugly surprise of payroll stress, insurance write-offs, and revenue rollercoasters that make your stomach drop.

And yet, most owners keep trying the same things:

  • Run more ads

  • See more patients

  • Hustle harder

The problem? More patients ≠ more profit. In fact, without the right revenue model, more volume can actually make you less profitable.

The good news: There’s a proven, repeatable way to smooth out the income dips, grow patient loyalty, and double or even triple what each patient spends in your practice — without adding more chair time.


Story: The Owner Who Went From Burnout to Breakthrough

Meet Dr. James Porter from Boise, Idaho.

After buying his practice, James quickly realized that ownership didn’t just mean seeing patients — it meant:

  • Negotiating with insurance companies (and losing)

  • Dealing with seasonal revenue dips

  • Watching net income get squeezed by lab costs and payroll

By year three, he was exhausted. His gross revenue looked okay on paper, but his net income was stuck — and every year felt like starting from zero.

That’s when he discovered BoomCloud™ and the power of creating an in-house membership program.

He built:

  • $30/month plan

  • Annual comprehensive exam + retinal imaging

  • 25% off glasses and contacts

  • Discounts on dry eye & specialty lenses


In Year One:

  • 350 members paying monthly → $10,500 MRR

  • That’s $126,000 ARR before optical upsells

  • Membership patients spent 2.8x more than non-members

  • Optical sales up 55%

By Year Two:

  • 540 members → $16,200 MRR = $194,400 ARR

  • Average revenue per member = $700/year

  • Net income grew by 92%


Why Memberships Are an Owner’s Secret Weapon

When you own the practice, your #1 job is to control what you can. You can’t change insurance reimbursement rates, but you can control how much revenue each patient brings in.

Membership programs do exactly that by:

  • Locking in Recurring Revenue
    MRR = predictable monthly cash flow
    ARR = long-term growth you can actually plan for

  • Boosting Per-Patient Spend
    Membership patients consistently spend 2–4x more on optical, specialty services, and elective treatments

  • Building Loyalty
    Membership patients aren’t tied to an insurance network — they’re tied to you


The Shift from Chasing Volume to Maximizing Value

Before membership plans, Dr. Porter’s mindset was: “We need more patients.”

After launching his plan, the realization hit:
“We don’t need more patients — we need more from the patients we already have.”

That shift changed everything. His marketing budget didn’t increase. His team didn’t burn out. But his net income finally grew — and kept growing.


The Numbers That Changed the Game

Example: 500-Member Model

  • 500 × $30/month = $15,000 MRR

  • That’s $180,000 ARR

  • Add optical upsell revenue ($200/member avg.) = +$100,000/year

  • Total membership impact: $280,000/year without a single new patient


How to Launch Your Own Membership Program (and Make It Sell)

Step 1: Build a No-Brainer Offer

  • Annual exam + OCT or retinal imaging

  • Discounts on glasses, contacts, dry eye services

  • VIP perks like priority booking or trunk show invites

Step 2: Price for Perceived Value AND Profit

  • Most successful ODs charge $20–$45/month

  • Make sure the retail value is 2–3x the monthly fee

Step 3: Automate Everything with BoomCloud™

  • Recurring billing

  • Renewal reminders

  • Active member tracking

  • Analytics on MRR, ARR, churn rate

Step 4: Train Your Team to Sell It Every Day

  • Equip them with scripts

  • Incentivize sign-ups

  • Use patient success stories as social proof


Cool Membership Perks Owners Are Using to Drive Growth

Family Bundle Discounts – More members per household, higher MRR
Frame Upgrade Credits – Encourages premium optical purchases
Dry Eye Therapy Discounts – Turns occasional services into recurring revenue
Exclusive Imaging – Premium tech perks members brag about
VIP Shopping Nights – Drive high-margin same-day sales


Data from BoomCloud™ Owners

Across hundreds of practices, BoomCloud™ data shows:

  • 70% boost in annual cash flow at 300+ members

  • 85–90% retention year over year

  • Reducing insurance dependency by 20% → 10–15% higher profit margins


⚡️ Why This Works for Owners in Any Market

Even in a recession, prepaid memberships keep patients coming in. The stability of MRR allows owners to:

  • Plan growth without gambling on ad spend

  • Offer better staff pay (reducing turnover)

  • Invest in new tech without fear of slow seasons


✅ Final Takeaway

Owning an optometry practice isn’t just about being the doctor — it’s about being the CEO. And CEOs build predictable, profitable revenue systems.

A membership program is the simplest, highest-ROI system you can add. It transforms:

  • Unpredictable income → steady MRR

  • Low-margin insurance patients → high-margin loyalists

  • Volume stress → sustainable profitability

If you’re tired of ownership feeling like a never-ending hustle, it’s time to make your revenue work for you — not the other way around.


Your Next Steps:

My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

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!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

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

Calculate Your Potential

with BoomCloud™

Recurring Revenue Growth Calculator

Discover the revenue potential of your practice’s membership plans. This calculator helps you project growth by analyzing key factors like patient volume, plan pricing, and service utilization. See how implementing a custom plan can boost your bottom line.

Revenue Calculator

 PPO Loss Calculator – How Much are YOU Losing?

Calculate the hidden costs of relying on traditional PPO plans. Our PPO Loss Calculator reveals the revenue you could be missing out on and helps you strategize for greater profitability with a membership-based model.

PPO Loss Calculator