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| Optometry Forum for practitioners and students currently enrolled in optometry school. | RSS: |
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#1 |
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#2 | |
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1K Member
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All of the control is on their end. You'll sign in, sign out for lunch, etc. If you were an exempt, salaried employee, they couldn't cut your hours and save money since you'd be getting a bi-weekly check based on a salary. It's for their protection, not yours - make no mistake. If it's a position with a franchise owner and he/she is doing well, you could be in a position to bargain for a good salary with bonus sturcture and benefits. If not, you may not be able to negotiate your pay up very much. It just depends. What I tell outgoing 4th years is, for corporate Luxottica locations, PT work can be great. They don't have their teeth in you, the pay is good, and you're not obligated to do anything. Once you go FT, though, they own you. In any case, you'll enjoy random "secret patients" who will submit reports on your valiant or lackluster attempts to upsell PALs, AR, high index, 2nd and 3rd pairs of glasses, multifocal CLs, etc. Upset big brother by not pushing the good stuff hard enough and you could be in for a "visit." I know some ODs who like working at LC. It's not like America's Best or Cohen's or the other bottom-feeders, but it's definitely a very different brand of optometry than private practice, either on the ownership or the associate side. If you're ok being told how to be a Dr by someone with a high school education, you might be fine.
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"The truth hurts because Chuck Norris roundhouse kicked it." Last edited by Jason K; 06-01-2012 at 02:56 PM. |
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#3 |
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that's all well and good, but what $ are we talking????? per year if i work full time year round
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#4 |
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1K Member
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There's really no answer to your question. It all depends on how many hours you work and your hourly rate. If you work 40 hours per week, you might do ok. If you don't get that many hours because they're frequently cut against your will, you won't. If it's a franchise location, it depends on how much the owner is willing to pay you. There's no specific answer for you.
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#5 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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thanks. |
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#6 | |
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Senior Member
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If you work for Eyeexam of California, no health or dental insurance. |
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#7 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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Around how much does it cost to lease the space from Lenscrafters? Are you responsible for insurance billing or do they make the sales associates do that?
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#8 |
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Senior Member
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Don't know. Never done it. Some states it's a flat amount. Some it's a percentage of what you bring in. Yes, generally you are responsible for all billing and collection of fees or you are responsible for hiring someone to do it.
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#9 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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So basically it's like having your own private practice, you're responsible for everything, Lenscrafters just finds the patients for you? Do you get a percentage of any of the glasses/contacts sold?
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#10 | |
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Senior Member
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For contact lenses, some leases the corporate store sells the contacts and in others the doctor does. In the case where the doctor does, the lease payment is higher. (naturally.) |
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#11 | |
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Senior Member
Join Date: May 2004
Posts: 683
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)That sounds decidely unlike having your own private practice. |
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#12 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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So they can fire you at any time, but you can't quit while you're on a contract? And sometimes there's a clause in the contract that you can't practice in the nearby area after you work with them? |
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#13 | |
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Senior Member
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In general, they can terminate you with as little as 30 days notice for any reason or no reason. In general, if YOU want to terminate the lease you have to give them 90 days. As far as non compete agreements, they are pretty standard but generally unenforceable in most states. |
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#14 |
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Can we get a yearly number here? Like 100K?
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#15 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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So do you get the keep the entire cost of the vision exam, minus whatever insurance discounts they have? How many patients would you estimate you need to see a day to make a good living? |
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#16 | |
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Senior Member
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As to how many patients you have to see to make a good living? Obviously....it depends. First...what do you consider a "good" living? Second....how much do you charge for an exam? How many patients can you/they attract? |
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#17 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#18 | |
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Senior Member
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The main problems that ODs talk about with CPs seems to be loss of control by the doc. Being told how to run things, the fees, pushing products, increasing hrs to see more patients, not being allowed to do "medical" optometry, no sense of security. These are reasons why most leave CP to start their own not because there weren't enough patients. But that doesn't mean you should go with any location. If you know previous doc left due to not enough patients, you might want to try somewhere else or find out why. If it is brand new vision center you might want to check how many other CPs exist around the same are. |
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#19 |
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1K Member
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This assumption will get you in a lot of hot water. I can't tell you how many grads get suckered into a new Walmart or Sam's Club lease, only to find out that they are stuck seeing 10 patients per week. High volume commercial leases are not easy to come by.
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#20 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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Right, the one good thing about CA is that our Costcos and walmarts are insanely crowded. Is coding and billing insurance really hard, and do they teach you how to do that kind of stuff in school? I'm not really sure how I'm going to learn how to run my own business and employees, even at a commercial place.
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#21 | |
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I would suggest that people work for someone else for a year when they are first out of school to learn that. Make the mistakes on someone else's dime. Regarding Costcos and Walmarts being insanely crowded, that may well be but if they truly are insanely crowded you can rest assured that that lease is not available. |
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#22 | |
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1K Member
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There's really not any simple way out of the oversupply issue - it's going to be there no matter where you go. It's part of the profession now. Even those seeking government positions will deal with it indirectly. |
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#23 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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Do you guys have any recommendations on how to pick up good business skills while in Optometry school? |
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#24 | |
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1K Member
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The main problem is not necessarily that you leave optometry school without the experience, although that is a big issue for just about all clinical doctorate programs. The problem is that even with good business skills, you're fighting an uphill battle against the profession's momentum. All the business acumen in the world won't help you if you're selling blocks of ice to eskimos. |
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#25 |
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Senior Member
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What if you practice in a state where OD can work as an employee for a CP. What type of patients will they let you see, in terms of insurance? How about medicare, medicaid patients ? When you have to bill vision and medical plans you will collect the revenue for the exams, on top of your salary, right?
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#26 | |
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1K Member
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As far as the type of patients, you're not going to be billing much in the way of medical in a corporate setting. They don't have any interest in revenue from medical visits; they want to sell materials - that's their reason for existence. The doc is just there to keep things legit by signing the spectacle Rx. If an Rx were not needed, you'd not see many ODs in corporate settings. That day may come in the not-too-distant future. This is one of the great ironies of the profession right now. We're out there talking up the fact that "we're producing the most highly-trained ODs ever," and yet the vast majority of them will be signing Rx's for a living and not using much of their training once they graduate. In any event, you absolutely do not collect exam fees on top of your salary. If you're employed, you get your salary plus a bonus if you negotiate one into your contract. You'll be told when to show up, when to take lunch, when to leave, how long to spend with each patient, what to say to each patient, what to fit on patients, etc, etc. You may think you have control and they'll certainly tell you that during your interview, but be sure to talk to a FT employed doc or two before you agree to work for a Luxottica brand or any other commercial position. It's not what it seems on paper. There are some good commercial leases out there. The bad news? Thery're all taken and docs who have them don't just leave them around for the taking. If a commercial lease is open to a new grad, you can just about bet it's going to be a new, slow location that may or may not ever produce a sustainable volume. Since there's far more ODs than needed, it's a great setup for commercial organizations - they've got all the "fertilizer" they need to keep themselves growing at a cancerous pace. Last edited by Jason K; 07-08-2012 at 03:46 PM. |
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#27 | |
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#28 | |
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But I would not read them so that you can learn "the secret" to success. There really is no secret. Read them to get ideas. You will find many articles that leave you saying "well, I don't really like that at all. I'm certainly not going to do it THAT way" and you'll find others that leave you thinking "wow....I never really thought of that. I like THAT way." Also, interact with your faculty who do have private practices on the side. Ask them what mistakes they made. Ask them what they wish they did differntly. Ask them what they would suggest you do and why. And again....do it not to find "the secret" but to get ideas and opinions so you can start to form your own. |
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#29 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#30 |
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New Member
Join Date: Jun 2005
Posts: 144
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+1
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#31 | |
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1K Member
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As far as the PP vs commercial, I'd say the "good" commercial spot would be easier to find, but that's all relative. As a percentage of the number of grads leaving school these days, FT private practice positions are just about nonexistent. They're around, but the numbers are minuscule and the pay is usually low. |
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#32 |
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Senior Member
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#33 | |
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Senior Member
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And I will add that commercial positions are becomming more and more difficult to secure as well. I do hear that there are a few prisons in the U.S. that do not yet have an optometrist (but most already have a desperate contract OD providing eye exams for felons just to make ends meet not to mention the ones stepping through feces to make a buck in nursing homes). When I first opened up years ago I bid on a prison contract to work part-time as my private practice was growing. There were 7 ODs that bid on it and the winning OD was one that agree to give the child-molesters and rapists eye exams for $35. THAT's how bad it was even in the late 1990's. It's worse now. No joke. Last edited by Tippytoe; 07-10-2012 at 11:26 AM. |
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#34 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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So the Optometrist I saw today at Lenscrafters said she was an employee of the company and gets benefits, how is that possible? I thought it was illegal? Maybe the Lenscrafters is privately owned?
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#35 |
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Senior Member
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Is this person in California? If so, I do not understand how that is possible. I am not completely familiar with the CA situation so perhaps it has changed but my understanding is that optometrists in CA were essentially employed by Eye Exam 2000 or whatever it's called and are paid a per diem rate. If she's getting health insurance, vacation etc. etc. then good for her!
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#36 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#37 | |
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Senior Member
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I would ask her what benefits she gets. |
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#38 |
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Senior Member
Join Date: May 2004
Posts: 683
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I think its fair to say that what happens in a lencrafters is anything but optometry..................more like an overtrained optician performing refractions, with a random assortment of screening tests thrown in, for no particular reason other then attempting to "wow" the clientele with horsehit.
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#39 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#40 | |
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Senior Member
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I still wouldn't work there. lol |
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#41 |
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Senior Member
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This is getting to be more common. I guess as long as the "company" is OD or MD controlled this is legal. What a lot of people don't seem to realize is that if you saw the number of patients each day that these retail jobs require, you'd make a lot more money in your own practice.
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#42 | |
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#43 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#44 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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#45 |
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Senior Member
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The ODs at Americas Best in my general area are required to see 8 exams an hour. You have any idea what that would be like? I'd rather work on an assembly line buildings cars.
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#46 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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I'd rather see too many patients than too few...I guess I'm more concerned about not even finding full-time work in corporate by the time I graduate...
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#47 | |
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Senior Member
Join Date: May 2004
Posts: 683
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#48 |
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Senior Member
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#49 |
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Senior Member
Join Date: Mar 2012
Posts: 352
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When I had vision insurance, I went to my regular Medical Foundation and saw the OD there. Then just a couple years ago, when i switched insurance i didn't have vision coverage, so I went to Walmart, Costco, Lenscrafters...etc. No one in my family wears glasses so I don't have like a family OD haha.
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#50 | |
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Senior Member
Join Date: Mar 2012
Posts: 352
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Ya someday when I have money saved up, it would be nice to open up a modern practice in my town but I don't mind starting out in a corporate setting. |
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