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October 2026 research n=19

Multi-practice growth research

What drives optometry practice growth

A study of 19 independent practices and 64 public data points. Growth follows the market more than the practice.

Research slides

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Sample: 27 practices profiled from one poll; 21 answered (14 Up, 4 mixed or neutral, 3 Down) and 6 only commented. 19 independents form the comparison set: 13 Up, 6 not-Up.

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  • Growers sit in older markets with more Medicare and Medicaid patients.
  • Reviews and web authority track growth. Hours, booking, and site speed do not.
  • Every finding is a lead, not proof.

Source: ODs on Finance revenue poll (Oct 2026) plus public data, MyBCAT analysis; directional, n=19 (13 Up / 6 not-Up).

Read the slide text

  1. Slide 1: 27 practices profiled; 19 form the comparison set

    27 practices profiled from one poll. 21 answered: 14 Up, 4 mixed or neutral, 3 Down; 6 only commented. 19 independents are used for correlations (13 Up / 6 not-Up). One low-match and one corporate/retail practice are excluded.

  2. Slide 2: Growers sit in older markets with more Medicare and Medicaid patients.

    Market first: median catchment age (+0.63) and insurance mix (employer or individual-plan share, −0.68). Practice second: web domain rating (+0.57), a myopia-control page (+0.51), and reviews vs local peers (+0.51). Leads, not proof.

  3. Slide 3: With the market held fixed, web authority and myopia care still track growth

    Domain rating rises to +0.63 and myopia care to +0.56 with both market factors held. Medicare and age 65+ fall to +0.18 and +0.13; competitive pressure (CPI) falls from −0.48 to −0.10.

  4. Slide 4: Hours, online booking, site speed, and dry-eye care are noise at n=19

    Evening / Saturday hours +0.38 / −0.12, online booking +0.26, dry-eye care +0.21, Google Book button +0.18, site speed −0.12. Test these as measured pilots, not growth promises.

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