Practice consulting for independent optometry practices
Resources

The guide library.

Practical, specific, and written to be the definitive answer to a question owners are already typing into Google and asking their AI assistant. Topical depth here is what makes the practice findable everywhere else.

Optometry Practice Financial Health and Cash Flow Control cover PDF · 3pp 18–22%healthy operating cash margin
Practice Profitability Series

Thirteen weeks out: seeing cash before it runs short

Why a profitable year does not fund a payroll run, how to decompose the statement into line items an owner can act on, and the thirteen-week instrument that shows a constraint before it arrives.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 01: Financial health →
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Optometry Site Selection and Optical Space Planning cover PDF · 3pp $450–650revenue per square foot
Practice Profitability Series

Fifty, twenty-five, twenty-five: allocating the floor on purpose

How square footage allocated by clinical habit caps optical revenue, what revenue density should be, and which lease clauses are negotiable far more often than tenants assume.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 02: Facility strategy →
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Optometry Office IT, EHR Management and Data Security cover PDF · 3pp $280–420net revenue per lane hour
Practice Profitability Series

Downtime is lost chair time: pricing an EHR outage

What an EHR outage actually costs in lane hours, how to test candidate systems against your own workflow rather than a feature list, and the four continuity domains that fail independently.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 03: IT and EHR →
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Vision Plan and Medical Carrier Strategy for Optometric RCM cover PDF · 3pp 95%+target net collection rate
Practice Profitability Series

Vision plan or medical: routing the encounter correctly

Why an optometry practice bills two structurally different insurance systems, how to route each encounter on documented presentation, and what dual-panel credentialing requires.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 04: Insurance and RCM →
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Optometric Service Mix and Clinical Equipment Strategy cover PDF · 3pp 24–36months to equipment payback
Practice Profitability Series

Buy the lane, not the device: equipment that pays back

How to model capital equipment against defensible procedure volume, why lane utilization is the binding constraint, and which of the four service-line expansions fits your chart population.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 05: Clinical services →
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Optometric Technician, Optician and Front Office Staffing cover PDF · 3pp 20–24%staff cost of net collections
Practice Profitability Series

The optician you lose: pricing eyecare turnover

What an experienced optician actually costs to replace, how to define optometric roles around owned outcomes, and how to design dispensary pay that funds itself.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 06: Staffing and HR →
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Optometry Practice Marketing, Recall and AI Visibility cover PDF · 3pp 12–20%structured reactivation yield
Practice Profitability Series

The lapsed file: your cheapest acquisition channel

Why reactivation outperforms acquisition on cost and conversion, how to structure recall as a sequence, and what makes a practice visible to AI assistants.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 07: Marketing and patient experience →
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Optical Inventory Architecture and Lab Strategy Economics cover PDF · 3pp 70–80%of volume from top brands
Practice Profitability Series

Too many brands, too little turn: rationalizing the boards

How to measure frame turn velocity, why brand count should fall before frame count, and when in-house finishing actually costs less per job than outsourcing.

Dr. David Hettler & Mani Vaghedi · October 2026
3 pages · PDF
Pillar 08: Optical retail →
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Maximizing Optical Capture cover PDF · 3pp 3.0–4.0healthy turn rate
Practice Optimization Series

The 3.0 Turn Rate: frame boards that convert

Why an over-filled board suppresses conversion, the 15–20% white-space rule, the 40/30/20/10 brand tier mix, the 50–65 inch ergonomic hot zone, and the vendor exchange terms to demand.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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Retail Pricing Architecture cover PDF · 3pp 25%+multi-pair target
Practice Profitability Series

Why a flat 3x markup is costing you money

The sliding-scale pricing ladder — 4.0x at entry, 3.0x at core, 2.2x at premium — plus the lifestyle prescribing grid and second-pair concession formulas that lift multi-pair capture.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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In-House Lab or Outsource cover PDF · 4pp 30 jobsmonthly break-even
Practice Optimization Series

The 30-job break-even test

A $35–55k edger financed over five years costs $700–1,000 a month. At $30 saved per job, that is 30 single-vision jobs a month before you profit. Full CapEx and hidden-cost model.

Dr. David Hettler & Mani Vaghedi · July 2026
4 pages · PDF
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Optometry Practice Expansion cover PDF · 3pp 3 weeksbooked = capped
Practice Expansion Series

You have hit your production ceiling

The revenue formula behind expansion, adjacent buildout versus relocation, the four-specialist team you need, and the lease clauses that can cost $50–100k on exit.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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Independent Optical Startup cover PDF · 3pp 9 stepslaunch blueprint
Practice Startup Series

From employed to owner, in nine steps

Business plan through grand opening: site selection, the LOI trap, clinical flow and showroom architecture, and the predatory lease covenants to strike before you sign.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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Independent Optical Acquisition cover PDF · 3pp 85%block practice sales
Practice Acquisition Series

You are not buying lanes. You are inheriting a landlord.

Of standard leases contain transfer restrictions letting a landlord deny assignment or seize goodwill when you sell. Assignment and assumption, restoration traps, and personal-guarantee burn-off.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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Independent Optical Lease Renewal cover PDF · 3pp 24 monthsleverage window
Practice Renewal Series

Start 24 months early or lose your leverage

Landlords rely on your procrastination. The five-stage renewal framework, the six lease building blocks to audit, and why structural protection beats a dollar off base rent.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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Independent Optical Relocation cover PDF · 3pp $50–100kshell restoration trap
Practice Relocation Series

Moving without losing your capture rate

A five-step relocation framework: spatial goals, current-lease liabilities, demographic site mapping, TI allowance negotiation, and dust-free equipment transfer.

Dr. David Hettler & Mani Vaghedi · July 2026
3 pages · PDF
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