NAICS 621320 Quarterly Industry Report
Offices of Optometrists
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 621320Sector: Health Care and Social Assistance (62)Updated: Q1 2026
About This Report
This industry profile for Offices of Optometrists (NAICS 621320) draws on data from the U.S. Census Bureau[8], Bureau of Labor Statistics[6], American Optometric Association[9], and SBA size standards database[7]. Published by Fair Market Value and updated quarterly, it provides valuation professionals, vision care analysts, and practice brokers with current market data. The editorial analysis reflects the independent assessment of FairMarketValue.com's research team, with all quantitative claims sourced to publicly verifiable databases.
Industry Snapshot
Key metrics for the offices of optometrists industry.
NAICS Sector
62
Health Care and Social Assistance
Industry Definition & Overview
Offices of Optometrists (NAICS 621320) encompasses establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry per the U.S. Census Bureau[5]. Services include detailed eye examinations, vision testing, contact lens fitting, prescription eyewear, and diagnosis and management of ocular disease. Practices operate as solo offices, group practices, retail co-locations, and corporate-affiliated clinics.
Roughly 47,076 locations generate over $6.5 billion in annual payroll per the Bureau of Labor Statistics[6] and Census data. MyEyeDr. leads the market with 869 locations and continued acquisition activity, adding 30 practices in 2024 alone. VSP and EyeMed operate major vision benefit networks that connect optometry practices to insured patient populations. Independent providers retain the dominant market position, with no single company exceeding 5 percent market share, reflecting a highly fragmented industry.
Per the SBA Table of Size Standards[7], the size standard is $12.5 million in average annual receipts. A supply-demand mismatch is projected, with 20 million additional routine visits expected between 2015 and 2025 against only 2.1 percent growth in the optometrist workforce. Inflation affects 70 percent of providers, with 35 percent expecting severe financial pressure in 2025. Several states have expanded optometric scope of practice to include laser procedures and minor surgery, while AI-assisted diagnostics and augmented reality eyewear try-on tools are reshaping clinical and retail operations. Contact lens sales have softened, declining 7.5 percent in late 2025, as patients shift spending toward premium frame purchases.
What's Included in This Industry
- detailed eye examination and vision testing services
- Contact lens fitting, prescribing, and follow-up care
- Prescription eyeglass and frame selection and dispensing
- Ocular disease diagnosis and management
- Glaucoma screening and intraocular pressure monitoring
- Diabetic eye examination and retinal assessment
- Pediatric vision screening and myopia management
- Pre- and post-operative co-management for eye surgery
- Low vision rehabilitation and assistive device prescribing
- Retail optical dispensary and frame inventory management
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Sector | Health Care and Social Assistance | 62 |
| Subsector | Ambulatory Health Care Services | 621 |
| Industry Group | Offices of Other Health Practitioners | 6213 |
| NAICS Industry | Offices of Optometrists | 62132 |
| National Industry | Offices of Optometrists | 621320 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 621111 | Offices of Physicians (except Mental Health Specialists) | Offices of Physicians (General) refer patients to optometry for vision screening and ocular disease management, with primary care physicians detecting diabetic and hypertensive eye conditions that require optometric follow-up care |
| 621210 | Offices of Dentists | Offices of Dentists share similar independent practitioner business dynamics including insurance reimbursement pressures, corporate consolidation through DSO-equivalent models, and staffing challenges across clinical support positions |
| 621310 | Offices of Chiropractors | Offices of Chiropractors share the independent healthcare practitioner market structure with comparable solo and group practice formats, franchise-based delivery expansion, and direct-pay business model alternatives |
| 339115 | Ophthalmic Goods Manufacturing | Ophthalmic Goods Manufacturing produces lenses, frames, and contact lenses sold through optometry practice dispensaries, creating a direct supply chain relationship between manufacturing and clinical retail operations |
| 456130 | Optical Goods Retailers | Optical Goods Stores compete with optometry practice dispensaries for eyeglass and contact lens retail sales, with online retailers and big-box optical departments increasing price transparency and consumer choice |
| 621512 | Diagnostic Imaging Centers | Diagnostic Imaging Centers provide advanced ocular imaging services that complement optometry office diagnostic capabilities, with retinal scanning and OCT imaging referrals creating clinical workflow connections |
Geographic Concentration
Top states by share of national establishments.
| # | State | % Est. | Total Est. |
|---|---|---|---|
| 1 | California | 12.3% | 2,806 |
| 2 | Texas | 9.4% | 2,133 |
| 3 | Florida | 6.6% | 1,509 |
| 4 | New York | 4.1% | 940 |
| 5 | Ohio | 3.9% | 876 |
| 6 | Illinois | 3.8% | 857 |
| 7 | Pennsylvania | 3.7% | 849 |
| 8 | Georgia | 3.1% | 707 |
| 9 | North Carolina | 3.0% | 684 |
| 10 | New Jersey | 2.8% | 641 |
% Of Establishments
0%
12%
Source: County Business Patterns, U.S. Census Bureau[3]
SBA Lending Summary
1,192
Total SBA Loans
$633.5M
Total Loan Volume
$531K
Average Loan Size
13 yrs
Average Loan Term
9.99%
Average Interest Rate
8,280
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[4]
Key Insight: Per the SBA Table of Size Standards[7], Offices of Optometrists (NAICS 621320) has a size standard of $12.5 million in average annual receipts for federal contracting purposes. SBA lending programs[10] support practice acquisition, diagnostic equipment investment, and optical dispensary buildout for qualifying optometry practice operators. Eligible businesses can access SBA 7(a) loans[11] for working capital, equipment, and acquisition financing, while 504 loans[12] support major fixed-asset purchases including real estate and heavy machinery.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | The Huntington National Bank | 104 | $85.8M | $825K |
| 2 | Fifth Third Bank | 40 | $78.2M | $2.0M |
| 3 | Live Oak Banking Company | 32 | $73.2M | $2.3M |
| 4 | U.S. Bank, National Association | 40 | $34.4M | $861K |
| 5 | Banc of California | 8 | $32.0M | $4.0M |
Frequently Asked Questions
Common questions about this industry.
What is the NAICS code for optometry offices?
NAICS 621320 covers offices of optometrists providing eye examinations, vision testing, contact lens fitting, and ocular disease management per the U.S. Census Bureau[5].
How many optometry practices operate in the U.S.?
What is the SBA size standard for optometry offices?
The SBA size standard[7] is $12.5 million in average annual receipts, determining eligibility for federal small business contracting programs and SBA lending products.
Who is the largest optometry practice group?
MyEyeDr. leads with 869 locations and continued acquisition activity per industry tracking data, though no single company exceeds 5 percent market share in this highly fragmented industry.
Is there a shortage of optometrists?
A supply-demand mismatch is projected, with 20 million additional routine visits expected alongside only 2.1 percent workforce growth per American Optometric Association[9] capacity analysis.
How is scope of practice changing for optometrists?
Several states have expanded optometric scope of practice to include laser procedures and minor surgery per state regulatory updates, broadening the range of services optometrists can deliver beyond traditional vision care and disease management.
How is inflation affecting optometry practices?
Inflation affects 70 percent of providers, with 35 percent expecting severe financial pressure in 2025 per Bureau of Labor Statistics[6] industry data, driven by rising supply costs, labor expenses, and insurance reimbursement compression.
Are contact lens sales growing or declining?
Contact lens sales have softened, declining 7.5 percent in late 2025 per industry retail tracking data, as patients shift spending toward fewer but higher-quality frame purchases and emerging myopia management products.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Census Bureau, County Business Patterns census.gov
- [4]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [5]U.S. Census Bureau census.gov
- [6]Bureau of Labor Statistics bls.gov
- [7]SBA Table of Size Standards sba.gov
- [8]U.S. Census Bureau data.census.gov
- [9]American Optometric Association aoa.org
- [10]SBA lending programs sba.gov
- [11]SBA 7(a) loans sba.gov
- [12]504 loans sba.gov
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