Optometrists provide primary eye care — from routine exams and glasses prescriptions to diagnosing and managing eye diseases. Here’s what ODs actually earn across settings and states.

Pay at a Glance (BLS Data)

Bureau of Labor Statistics wage estimates for optometrists, across all industries:

Percentile Annual Wage Hourly Equivalent
10th (entry level) $74,870 $36.00
25th $109,400 $52.60
50th (median) $136,570 $65.66
75th $165,120 $79.38
90th $202,180 $97.20
Average (mean) $141,550 $68.05

Source: US Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, for Optometrists (all industries). Hourly figures are annual wages divided by 2,080 hours. “Not published” means BLS withheld the estimate, usually because wages are above its top reporting limit.

Optometrist Salary by Setting

Setting Notes
Private Practice (Owner, Established) Optical sales add significant revenue
Private Practice (Associate) Common first role
Corporate (LensCrafters, Pearle) Predictable, benefits included
Retail (Walmart, Costco, Target) Often highest for employed ODs
Hospital/Health System Benefits, loan repayment possible
VA/Government Excellent benefits, loan repayment
FQHC/Community Health NHSC loan repayment available
Academic/Faculty Teaching + research
Ophthalmology Practice (OD) Medical eye care, co-management

Optometrist Salary by State

Rank State Avg Salary Starting Salary Median Salary
1 Alaska $165,120 $98,530 $170,310
2 New Jersey $161,110 $104,730 $159,040
3 North Carolina $161,030 $94,320 $161,560
4 Maine $160,730 $102,600 $154,110
5 Washington $159,380 $103,880 $157,560
6 Virginia $155,530 $62,430 $131,570
7 New Mexico $153,180 $88,160 $144,660
8 New York $153,130 $95,460 $161,140
9 Massachusetts $152,550 $95,780 $151,730
10 Colorado $152,460 $65,910 $152,000
11 Minnesota $151,450 $96,670 $158,700
12 Hawaii $149,920 $107,090 $154,620
13 Maryland $148,910 $50,560 $165,840
14 Connecticut $147,820 $99,200 $150,340
15 California $147,420 $99,890 $136,300
16 New Hampshire $146,430 $76,360 $125,560
17 Vermont $146,240 $60,290 $137,290
18 Rhode Island $145,800 $71,670 $134,520
19 District of Columbia $145,590 $102,570 $134,840
20 Michigan $144,610 $98,110 $135,650
21 Illinois $143,720 $93,350 $145,620
22 Florida $143,020 $62,490 $151,670
23 Delaware $142,820 $77,980 $161,270
24 Wisconsin $142,800 $75,390 $139,720
25 Kentucky $142,710 $82,240 $128,860
26 Kansas $140,510 $85,010 $138,580
27 Pennsylvania $139,660 $92,970 $135,400
28 Alabama $137,460 $56,740 $145,090
29 Indiana $137,020 $76,860 $135,500
30 Nevada $137,020 $74,530 $135,650
31 Arizona $135,280 $99,570 $122,250
32 Ohio $133,960 $63,650 $134,850
33 Missouri $133,680 $64,610 $133,810
34 Nebraska $132,660 $65,170 $125,040
35 North Dakota $132,080 $74,610 $132,110
36 West Virginia $130,750 $69,830 $118,010
37 South Carolina $129,570 $51,740 $145,950
38 Georgia $128,630 $51,030 $128,830
39 Utah $128,180 $44,470 $119,070
40 Oregon $127,920 $83,830 $132,020
41 Mississippi $126,580 $63,470 $108,070
42 Arkansas $125,460 $57,960 $124,470
43 Texas $124,760 $54,180 $126,000
44 Iowa $123,250 $73,660 $125,380
45 Louisiana $121,000 $45,420 $118,060
46 Tennessee $120,920 $47,630 $134,170
47 South Dakota $118,060 $90,560 $102,320
48 Wyoming $115,500 $51,580 $111,400
49 Oklahoma $114,710 $59,990 $97,350
50 Idaho $113,870 $52,000 $103,390
51 Montana $106,200 $58,450 $104,280
— National $141,550 $74,870 $136,570

Source: US Bureau of Labor Statistics OEWS, 2025 estimates, fetched 2026-09-29. Figures cover Optometrists (cross-industry). Some states are omitted where BLS did not publish a reliable estimate.

Private Practice vs. Corporate

Factor Private Practice (Owner) Corporate/Retail
Base income Varies ($120K-$300K+) $120,000-$165,000
Optical revenue Owner keeps it Company keeps it
Schedule control Full Limited
Benefits Self-funded Included (health, retirement, CE)
Business risk High None
Buy-in/startup cost $200,000-$600,000+ $0
Patient relationships Long-term May rotate locations
Income ceiling Very high Capped
Weekends Your choice Often required

Practice Ownership Economics

Revenue Level Gross Revenue Overhead (55-65%) Net Income
Low $400,000 $240,000 $160,000
Moderate $600,000 $360,000 $240,000
Strong $800,000 $480,000 $320,000
High-volume $1,000,000+ $600,000 $400,000+

Optical sales are the key. Practices that capture glasses and contact lens sales in-house generate 40-60% more revenue than exam-only practices.

Optometrist Career Path

Stage Income Range Timeline
Optometry Student -$45,000-$65,000/year (tuition) 4 years
Residency (optional) $45,000-$55,000 1 year
Associate OD (new graduate) $95,000-$120,000 Years 1-3
Corporate/Retail OD $120,000-$160,000 Years 1-10+
Practice Owner (growing) $120,000-$180,000 Years 3-7
Practice Owner (established) $180,000-$300,000+ Years 7-15
Multi-location Owner $250,000-$500,000+ Years 10+

Optometrist Income vs. Debt

Metric Value
Average optometry school debt $200,000-$250,000
Annual loan payment (10-year) ~$27,000-$34,000
Annual loan payment (20-year) ~$17,000-$22,000
Starting salary $95,000-$120,000
Net after loans (10-year) $61,000-$86,000
Debt-to-income ratio 1.7-2.6x (associate)
NHSC loan repayment Up to $50,000 (2 years, FQHC)

Optometrist vs. Similar Eye Care Careers

Career Median Salary Education Scope
Ophthalmologist (MD/DO) $300,000+ Medical school + residency Surgery + medical
Optometrist (OD) $125,000 4-year OD program Primary eye care
Ophthalmic Technician $42,000 Certificate/Associate Assists ophthalmologist
Optician $45,000 Certificate/Associate Fits and dispenses eyewear

How to Maximize Optometrist Salary

Strategy Potential Increase
Own a practice with optical dispensary +$30,000-$150,000+
Work retail/corporate (Costco, Walmart) Competitive starting pay
Specialty contact lenses (scleral, ortho-K) +$15,000-$40,000
Dry eye management/meibomian gland treatment +$10,000-$30,000
Myopia management programs +$10,000-$25,000
Medical optometry (disease management) +$5,000-$15,000
Relocate to underserved/rural area +$10,000-$30,000 + loan repayment
Add aesthetic services +$10,000-$20,000

Job Market & Outlook

Factor Status
Job growth (2025-2035) 9.5%
New graduates per year ~2,000
Aging population Increased demand for eye care
Scope of practice expansion Ongoing in many states (more procedures)
Corporate vs. private Corporate growing; private resilient
Telehealth impact Limited — in-person exams essential
AI screening tools Augmenting, not replacing ODs

Work-Life Balance

Setting Schedule Rating
Private Practice (Owner) 35-45 hrs, 4-day weeks common Good to excellent
Corporate/Retail 40-45 hrs, weekends often required Moderate
VA/Government 40 hrs, M-F Good
Hospital 40 hrs, M-F Good
Academic 40 hrs, M-F Good

Optometry consistently ranks among the best healthcare professions for work-life balance.

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Is It a Good Career?

Good fit for

  • Wants healthcare + lifestyle — Optometry offers both.
  • Detail-oriented — Refraction and diagnosis require precision.
  • Patient communicator — Explaining diagnoses and options.
  • Business-minded (for ownership) — Practice ownership maximizes income.
  • Comfortable with routine — Many exams are similar.
  • Values stability — Predictable, consistent work.
  • Good with technology — Equipment and diagnostic technology.

Poor fit for

  • Craves variety — Eye care is specialized, repetitive.
  • Dislikes corporate options — Best work-life may require corporate.
  • Impatient with scope battles — OD vs. MD debate is ongoing.
  • Prefers surgery — Limited surgical scope (state-dependent).
  • Risk-averse but wants high income — Ownership = risk, employment = ceiling.
  • Wants prestigious title — “Doctor” but not “medical doctor” perception.
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Written by WealthVieu

WealthVieu researches and writes data-driven personal finance guides using primary sources including the IRS, Bureau of Labor Statistics, Federal Reserve, and Census Bureau.

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