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I've been working at an optometrists office a little over a year now as an assistant. It's sad to see how the optometry profession has become so business oriented. The doctor that I work for use to own a chain of private practices but got run down by big corporations such as Walmart and Lens Crafters (it's kind of ironic because he now works for a Walmart Vision Center).
The point I'm trying to get at is that optometrist's jobs are not the same as they use to be. The guy I work for makes about 150K a year which is decent but he's been in the game since the 1970's. If he lived in the east coast, he would make over 200K a year. An optometrist who just got out of school will probably be doing fill-in jobs and making 300-400 a day (which is decent, but, compared to the good'ol days, not as good).
The real "bread-and-butter" of optometry (as in, the money) is in selling glasses (but that is controlled by Walmart and Costco and other corporations of that sort). The only way to sell glasses is to have your own private practice. But ha, good luck on that. Besides the Walmart Vision Center, around our block there are like 4 private practices and a Costco. So it's pretty competitive (unless you decide to open up a practive in like Kentucky or El Paso, but then you have to deal with being in the middle of nowhere). 50% of Americans do not have health insurance of the 50% that do, I'm not even sure how many of those health insurances include vision insurance. So for the average "Joe" who does not have insurance for vision, he would most likely go to a Walmart or a Costco and pay half the price for an eye exam as opposed to a privately owned office.
The little guys can't compete with the big corporations. The doctor I work for now is worrying about being moved to a different location in a few years (due to remodeling of Walmart or something). This is something that Optometrists (and other people who have gone to professional school) should not have to worry about. But sadly, the evolution of optometry is happening before our very eyes.