Eye Own a Business: Recent Episodes
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Build an optometry practice and life you love! Eye Own a Business teaches independent ODs how to grow a thriving practice while wearing the hats of both a doctor and a business owner. Tune in as Dr. Steve Vargo and his guests guide you with the tools and strategies you need to build the practice of your dreams, one step at a time. Eye Own a Business is brought to you by IDOC. Learn more at IDOC.net
In this episode, Dr. Steve Vargo sits down with Susan Daly for a practical, no-nonsense conversation about one of the most guesswork-driven parts of running a practice: frame buying.
Steve and Susan unpack why most practices don't actually have a frame problem — they have a decision-making problem. Without clear processes, cadence, or data, frame buying tends to default to gut feel, favorite reps, or whoever's been there the longest. They talk through how to simplify the entire process down to something that could fit on an index card, why revenue-per-brand matters more than units sold, and how to build a healthier, more intentional relationship with reps instead of an exhausting or dysfunctional one.
This conversation goes beyond inventory management. It's about reducing complexity so opticians can give patients the time and attention that actually drives trust — and sales. Susan shares specific, tactical strategies from her merchandising background, including how to ask patients what they wish you carried, how often to reassess your assortment, and why a simple "try-on party" might be the fastest way to spot what's missing from your board.
Get in touch with our team to learn more about Clerra at idoc.net.
In this episode, Dr. Steve Vargo tackles a problem that quietly costs practices their best hires: a great candidate on paper who, a few months in, becomes quiet, hesitant, and error-prone.
Why does this happen?
Drawing on onboarding research and his own not-so-great first job experience (a training manual the size of a phone book), Steve unpacks the uncomfortable reality that most struggling new hires aren't a hiring mistake — they're an onboarding failure. He walks through the three things every new hire actually needs to succeed, the predictable emotional rollercoaster of someone's first 90 days, and the four most common onboarding mistakes well-meaning practices make without realizing it.
If you've ever wondered why a promising hire went from confident in the interview to silent in staff meetings, this episode will change how you think about their first 90 days — and give you a clearer way to set them up to stay.
Learn more about why your practice should choose Weave at Weave + IDOC | Weave
In this episode, Dr. Steve Vargo sits down with Corey Pinegar, founder of Team, for a grounded conversation about what AI actually means for optometry practices in 2026—beyond the hype and the fear.
Steve and Corey explore the "plant a flag in the middle" approach: using AI as an accelerant for the business side of practice—insurance verification, claims, scheduling support—while protecting the human relationships that patients actually care about. They discuss why the biggest AI failures aren't technology problems at all, but change management problems, and why so many practices are chasing "productivity theater" instead of asking what outcomes they actually want.
This conversation goes beyond tool selection or automation. It's about how doctors present change to already-burned-out teams, why staff are often using AI in the shadows whether practices have a policy or not, and how the right implementation can free doctors and their teams to simply be human with patients again. Corey shares real numbers from his own team's rollout, along with the coaching and buy-in strategies that made the difference between adoption and resistance.
To register for Vision Forward, visit idoc.net to reserve your spot.
In this episode, Dr. Steve Vargo sits down with Dr. Josh Davidson—known throughout the Gulf South as the go-to doctor for dry eye and scleral lenses—to unpack how he built one of the largest dry eye centers in the country, without starting with a blank checkbook or a room full of machines.
How does a doctor become "the guy (or gal)" in their community?
Josh shares the real starting point: not equipment, not capital, but a handful of extra minutes spent explaining what's actually happening on a patient's eye. He and Steve dig into why patients equate that kind of attention with expertise, why chasing every piece of new technology can actually backfire on trust, and why some of his most loyal patients are ones who'd already been sold thousands of dollars in gadgets elsewhere before finding him. Josh also gets specific about what he tells associate doctors who want to build a specialty inside someone else's practice, and how local talks, parade floats, and even his kid's baseball team became some of his most effective brand-building tools.
If you've ever assumed you need the newest machine before you can specialize in something you're passionate about, this episode will change how you think about what actually builds a reputation—and a following—in your community.
Schedule Your Practice's Dry Eye and Lid Care Staff Education: https://form.jotform.com/260396366931061
by Bruder & M&S Technologies, powered by Hilco Vision
In this episode, Dr. Vargo sits down with Dr. Elizabeth Roush, a practice owner from Northeast Indiana, to discuss the transformative impact of annual retreats on leadership, teamwork, and business growth.
Dr. Roche explains the logistics, planning, and execution of successful annual retreats, sharing how they have become her staff's favorite day of the year. She delves into the themes, activities, and strategies that make these retreats effective, including team-building exercises, custom-tailored content, and the importance of fostering vulnerability and connection among staff.
Dr. Roche also provides insights on maintaining the momentum of retreat learnings throughout the year for sustained improvements in practice operations and patient care.
To register for Vision Forward, visit idoc.net to reserve your spot.
In this episode, Dr. Steve Vargo sits down with Dr. Shannon Joseph for a conversation about one of the most overlooked revenue opportunities in eye care — the contact lens dropout.
Steve and Shannon explore why so many patients quietly stop wearing contacts and never bring it up again, why doctors aren't having the conversation either, and what happens to a practice when someone finally does. They dig into the assumptions patients carry — that they were told they couldn't wear contacts, that the technology hasn't changed, that nobody can fix what didn't work before — and how a few simple questions can unravel all of it.
This conversation goes beyond contact lens sales. It's about building the kind of patient experience that creates loyalty, drives referrals, and reminds doctors why they got into this work in the first place. Shannon shares how she's built a whole-team approach to re-engaging dropout patients — from the first phone call to the pre-test questionnaire to the exam room — and why fixing a problem a patient didn't even know they had is one of the most powerful things a practice can do.
In this episode, Dr. Steve Vargo sits down with Luke Mathers — optometrist, author, and stress resilience expert — for a conversation that challenges one of the most common assumptions in healthcare: that what you're feeling is burnout.
Luke spent 27 years in clinical optometry before following a personal health experience down a rabbit hole of evolutionary biology, neuroscience, and human behavior. What he discovered reshaped how he thinks about stress, exhaustion, and why so many high-achieving professionals feel stuck even when everything looks fine on the outside.
Steve and Luke explore Luke's framework for three distinct states that often get lumped together under the burnout label — burned out, bored out, and checked out — and why getting the diagnosis wrong means the treatment will fail.
They also dig into the business case for human connection, the neuroscience of why presence in the exam room changes patient outcomes, and what it actually means to recover on purpose rather than just waiting for things to slow down.
This conversation goes beyond stress management tips. It's about understanding what's really happening beneath the exhaustion — and finding your way back to the work that gave you a sense of purpose in the first place.
In this episode, Dr. Steve Vargo sits down with Chris Millet, Managing Director of Global Sales for Modern Optical, for an honest and timely conversation about what the data is telling us — and what independent practices can no longer afford to ignore.
Capture rates in the independent channel have dropped below 50% for the first time, and the reasons go deeper than the economy. Chris and Steve explore the shifting consumer mindset around affordability, brand loyalty, and the experience patients are now expecting when they walk through your door. They discuss the K-shaped economy playing out inside optical dispensaries, why the "sell up" strategy that worked for years is losing its grip on a growing segment of patients, and what the most adaptive practices are doing differently right now.
But this conversation goes beyond sales strategy. It's about being honest with yourself — about your inventory, your approach, and whether the practice model you've built still matches the patients walking in today. Chris shares practical examples from practices across the country that are plugging leaks, having better conversations, and finding ways to keep patients in the optical without pressure or pretense.
To register for Vision Forward, visit idoc.net to reserve your spot.
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Finding and hiring an associate OD has become one of the most frustrating challenges in independent practice — and most owners have no idea why their approach isn't working.
In this episode, Dr. Steve Vargo digs into the reality behind the associate shortage: the problem isn't only that there aren't enough doctors. In many cases, the way practices recruit, communicate, and present themselves is quietly disqualifying them before a candidate ever picks up the phone.
Why are qualified ODs going silent after interviews? Why do job postings sit untouched for months? And what does nearly $200,000 in student debt have to do with the way a young doctor reads your job ad?
Drawing on recent research into what today's ODs actually want from employers, Steve unpacks the psychology behind how this generation evaluates opportunities — and why transparency, structure, and specificity matter far more than prestige or promises of "someday."
To register for Vision Forward, visit idoc.net to reserve your spot.
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In this episode, Dr. Steve Vargo tackles something that's quietly weighing on a lot of healthcare professionals right now: uncertainty about the future.
What's actually coming? What's hype? And what does any of it mean for independent practices like yours?
Drawing on recent research across multiple healthcare forecasting sources — including data from the AMA, the Journal of the American Medical Association, Pew Research, and McKinsey — Steve breaks down the ten most significant trends shaping healthcare through the end of the decade, with a specific lens on what they mean for independent optometry.
Some of what's coming is disruptive. Some of it is genuinely good news — especially for the parts of practice most of us actually care about. And some of it won't affect your specialty at all.
But here's the through line: the practices that will thrive in the next five years aren't necessarily the biggest or the most technologically advanced. They're the ones that use the right tools to clear the administrative noise — and protect the human relationships that no algorithm can replace.
If you've been feeling uncertain about where eye care is headed, this episode won't add to that anxiety. It's designed to replace it with clarity.
To register for Vision Forward, visit idoc.net to reserve your spot.
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In this episode, Dr. Steve Vargo welcomes back optometrist and practice owner Dr. Kristina Pusz for a deeper conversation about the one thing most growing practices are missing: structure that actually sticks.
Steve and Christina explore what happens when a practice is growing on the outside but quietly unraveling on the inside — staff turnover, things slipping through the cracks, and a leader waking up in the middle of the night unable to turn her mind off. Christina shares how shifting from sporadic, one-sided staff meetings to a structured, accountability-driven leadership system changed not just her practice, but her life.
This conversation goes beyond meeting agendas and to-do lists. It's about psychological safety, the courage to let go of control, and why the practices that run the most efficiently are often the ones with the fewest people — not the most. Christina opens up about her own struggle with micromanagement, what her team finally said to her that forced her to change, and why the doctors who say they don't have time for this kind of structure are often the ones who need it most.
If your team goes quiet when you ask for feedback, if accountability keeps slipping, or if you're carrying more than you should be — this one is for you.
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In this episode, Dr. Steve Vargo sits down with optometrist and AI early-adopter Dr. Jay Henry and Josh Gosnell, co-founder of Adit, for a practical and eye-opening conversation about what artificial intelligence is actually doing inside optometry practices right now — and why the doctors who aren't paying attention may already be falling behind.
Steve, Jay, and Josh cut through the hype and the fear to talk about what AI can realistically do for your practice today: answering phones after hours, scheduling patients, scrubbing claims, scribing, and flagging the moment a patient call starts to go sideways. Dr. Henry shares how his group practice uses AI from the first touchpoint to the last — and how it's transformed not just efficiency, but culture. His staff smiles more. His charts are done before he leaves. He goes home.
But this conversation isn't just about technology. It's about getting back to why you became a doctor in the first place. The administrative grind that's quietly burning practices out isn't inevitable — and AI may be the most practical tool available right now to push back against it.
If you've been curious about AI but don't know where to start — or you've been waiting for a reason to take it seriously — this episode is a good place to begin.
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In this live episode of Eye Own A Business podcast, we’ll explore how a well-defined contact lens strategy can help you achieve your practice goals. Gain valuable insights into building a strategy that aligns with your team, patients, and long-term vision. A dynamic panel of colleagues will share real-world experiences and actionable tips, giving you the chance to learn from peers, ask questions, and leave with a clear roadmap to elevate your contact lens business.
Speakers:
- Dr. Tara Vaz - CooperVision
- Dr. Kaleel Shaheen II - Hills & Dales Vision, Inc
- Dr. Jennie Zolman - Draisin Vision Group
- Steve Vargo - IDOC
easyvision™ — What patients want. What you deserve. Offered exclusively through IDOC and manufactured by CooperVision*, a customer brand family of MyDay® and clariti® 1 day. Patients will love the comfort, convenience, and performance1 — available at prices lower than branded contact lenses and only available through your practice, you’ll love what it does for margins and keeping patients and their reorders where they belong — with you.†2
That’s easy.
*For product and safety information, visit coopervision.com/safety. 19534 03/26
Learn more at https://idoc.net/vendors/easyvision/
In this episode, Dr. Steve Vargo sits down with Jenna Ellsworth, National Account Manager for CareCredit, to tackle one of the most common — and costly — moments in any practice: the patient who was ready to say yes, but walked out the door anyway.
Why does this keep happening?
Steve and Jenna make the case that price objections are rarely just about money. More often, they're a signal that the patient wasn't given the right information, at the right moment, in the right way. And in most practices, that conversation is happening too late — or not at all.
From when to introduce financing options during the patient journey, to how doctors and staff can bring it up naturally without feeling like a sales pitch, this episode offers a practical roadmap for keeping more patients in-house and helping them actually follow through on the care you're recommending.
If you've ever watched a patient hesitate at checkout — or leave to "think about it" — this episode will change how you think about the price conversation and give your team the tools to have it with confidence.
To register for Vision Forward, visit idoc.net to reserve your spot.
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In this episode, Dr. Steve Vargo sits down with Susan Daly, Head of Optical Products at IDOC, live from IDOC Connection to tackle a challenge every independent optometry practice faces: complexity in the optical.
From overloaded frame boards to overwhelming lens options, today’s opticals are often suffering from the “peanut butter problem”, too many choices leading to decision fatigue for both patients and staff. The result? Lower capture rates, walking scripts, and missed revenue.
Susan shares a practical path forward, showing how simplifying your frame selection, lens offerings, and conversations can increase capture, improve team performance, and create a better patient experience.
You will learn:
- Why fewer choices can lead to more sales
- How the three-pair presentation drives confident decisions
- Why confusion, not price, is often the real barrier
- How to simplify your lens strategy without sacrificing quality
- A clear framework to communicate value in under two minutes
If you want a more efficient, profitable optical that feels easier to run, this episode gives you the blueprint.
Get free IDOC Essential Membership just by using IDOC Labs.
To register for Vision Forward, visit idoc.net to reserve your spot.
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In this episode, Dr. Steve Vargo joins certified financial planner and 20/20 Money podcast host Adam Cmejla for a candid conversation about one of the most common — and costly — mindsets in independent optometry: the belief that the business model is broken and that adding new services is the only way out.
The conversation starts with a frustrated email from a real OD — one who feels stuck, undervalued by insurance, and convinced that the only path forward runs through dry eye spas and red light therapy. Steve and Adam unpack why that thinking is understandable, why it's also a little dangerous, and why the same communication gaps that are quietly killing capture rate will follow you right into your next revenue stream.
Steve challenges the profession's complicated relationship with selling, makes the case that better communication, not better services, is usually the first domino to knock over, and shares practical, low-risk ways to start improving patient conversations today.
Originally aired on 20/20 Money, hosted by Adam Cmejla, CFP.
Not fully confident in what your practice's numbers are telling you? It's time for a financial health review.
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In this episode, Dr. Steve Vargo tackles a frustrating experience nearly every practice owner has lived through: a candidate who interviews beautifully, gets hired with confidence — and then quietly unravels six weeks later.
Why does this keep happening?
Drawing on research into hiring psychology and behavioral science, Steve makes the case that bad hires aren't bad luck — they're the predictable result of a broken process. The gut instinct we rely on in interviews turns out to be one of the weakest predictors of job performance. Meanwhile, the approaches that actually work are ones most independent practices have never been taught.
In this episode, Steve breaks down the most common places the hiring process goes sideways, why interviews are performance environments that reward the wrong things, and what a smarter — and surprisingly simple — approach looks like in a real-world practice setting.
In this episode, Dr. Steve Vargo sits down with Kayla Ashlee for a fascinating conversation about one of the most misunderstood groups walking into today’s practices: Gen Z patients.
Why are so many doctors and opticians struggling to connect with this generation?
Steve and Kayla explore how Gen Z’s digital upbringing, constant access to information, and high sensitivity to inauthenticity are changing the way practices need to communicate. They unpack why traditional “doctor talk,” overexplaining, and product-heavy presentations often fall flat—and how these missteps can quietly lead to lower capture rates, weaker trust, and missed opportunities in the optical.
This conversation goes far beyond generational stereotypes. It’s about learning how to communicate more clearly, guide more effectively, and create an experience that feels personal rather than transactional. Kayla shares practical insights on simplifying language, improving handoffs, asking better questions, and creating more customized optical experiences that resonate not only with Gen Z, but with patients across the board.
Not fully confident in what your practice's numbers are telling you? It's time for a financial health review.
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In this episode, Dr. Steve Vargo tackles a frustration nearly every practice owner has experienced: your patients like you, your patient surveys are positive—and yet referrals just aren’t happening.
Why is that?
Drawing on behavioral science and real-world experience, Steve challenges a common assumption in healthcare: that satisfied patients naturally become advocates. The research tells a different story. Patient satisfaction alone does not drive referrals—trust does. And more specifically, it’s the kind of trust that makes patients feel like you’re genuinely on their side.
Through a relatable story and practical insights, Steve unpacks what actually drives word-of-mouth in healthcare, including the powerful role of memory, emotional moments, and how visits end. He introduces key concepts like the “peak-end rule,” the intention–behavior gap, and why even well-intentioned patients often fail to follow through on referring others.
If you’ve ever wondered why happy patients don’t automatically translate into practice growth, this episode will shift your perspective—and give you a more intentional, human-centered approach to generating referrals that actually happen.
Not fully confident in what your practice's numbers are telling you? It's time for a financial health review.
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In this episode, Dr. Steve Vargo sits down with Cory Pinegar for a practical conversation about virtual assistants, remote staffing, and why more optometry practices are taking a serious look at hybrid teams.
Steve and Cory unpack some of the biggest misconceptions doctors still have about virtual assistants—from concerns about communication and quality to fears about accountability, culture, and whether remote team members can truly feel like part of the practice. They also explore why virtual staffing is not a “plug and play” solution, and what practice owners need to do on their end to make it successful.
This conversation goes beyond outsourcing as a cost-saving tactic. It’s about building a smarter workforce for the future—one that blends in-office staff, remote team members, and AI in a way that reduces overload, protects team culture, and creates more space for meaningful patient connection. Corey shares practical insights on hiring, onboarding, training, setting clear expectations, and helping virtual assistants become real members of the team rather than just invisible support in the background.
Not fully confident in what your practice's numbers are telling you? It's time for a financial health review.
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In this episode, Dr. Steve Vargo sits down with optometrist and consultant Dr. Larry Golson for a practical conversation about leadership, delegation, and one of the biggest hidden barriers to growth in private practice: the owner who can’t let go.
Building on an earlier discussion about EOS—the Entrepreneurial Operating System introduced in Traction—Steve and Larry focus on one of its most powerful and misunderstood tools: the Accountability Chart. Together, they explore how a clear structure for roles, reporting, and ownership can reduce chaos, improve trust, and help practice owners stop being the bottleneck in their own business.
Larry shares how implementing EOS in his own practice changed everything—from team alignment to sustainable growth—and why many owners unknowingly create stress, confusion, and frustration by leading from control rather than clarity. They also unpack the emotional side of delegation: why trusting your team feels so difficult, how to avoid creating more conflict during organizational change, and why empowering others often leads to better outcomes than trying to hold everything together yourself.
This conversation goes beyond org charts or management tactics. It’s about rethinking leadership, creating structure that gives people confidence, and building a practice that grows because more people are taking ownership—not because the owner is carrying more.
Listen to Episode 24: Transition From Patient Care to Practice Development
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In this episode, Dr. Steve Vargo sits down with financial planner and repeat guest Adam Cmejla for a timely conversation about taxes, costly filing mistakes, and why practice owners need more than just a CPA who “gets it done.”
Steve and Adam unpack a real-world example that started with a social media post: a doctor’s tax return included an $83,000 qualified business income deduction they likely didn’t qualify for—an error that could have created more than $30,000 in back taxes, plus penalties and interest. From there, the conversation expands into the broader issues practice owners need to understand during tax season: the difference between tax preparation and tax planning, why a second set of eyes matters, and how seemingly small errors can turn into expensive problems years later.
This conversation isn’t about fear. It’s about clarity. It’s about helping doctors understand their numbers, ask better questions, and take a more intentional approach to taxes as part of a complete financial plan.
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In this episode, Dr. Steve Vargo explores a frustrating experience nearly every doctor has faced: explaining a treatment plan clearly, receiving agreement from the patient—and then watching them never follow through.
Why does this happen?
Drawing on recent research he conducted on patient behavior and adherence, Steve unpacks the uncomfortable reality that patient “non-compliance” is rarely about patients simply not caring or not listening. In fact, the World Health Organization and behavioral science research suggest something very different: many adherence failures are predictable outcomes of human behavior—and often influenced by how treatment plans are communicated and implemented.
If you’ve ever wondered why patients nod in the exam room but don’t act afterward, this episode will challenge the way you think about compliance—and offer a smarter approach to designing care that patients actually follow.
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In this episode, Dr. Steve Vargo is joined by repeat guest Ankit Patel—AI and remote staffing expert and founder of My Business Care Team—for a practical conversation about one word that matters more than ever right now: scalability.
Steve and Ankit unpack why so many optometry practices feel stuck in a staffing trap—constant turnover, missed calls, overwhelmed teams, and owners carrying far more operational weight than they should. And they connect the dots to a hidden consequence most doctors don’t think about until it’s too late: if your practice is still “key-person dependent,” it becomes harder to scale… and less attractive to buy.
You’ll hear how Ankit has built a hybrid model using remote teams and AI to strip away administrative noise—phones, confirmations, insurance verification, recalls—so in-office staff can focus on the patient experience. They explore what changes when remote staffing is done right: fewer distractions, higher capture rates, stronger patient flow, improved profitability, and a business that feels less like a job and more like an asset.
This isn’t a conversation about outsourcing to save a few dollars. It’s about building a modern practice that can grow without compounding chaos—and creating the kind of structure that can increase valuation and help you sell faster, and at a higher price, when the time comes.
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In this episode, Dr. Steve Vargo sits down with Australian host Michael Nasser for a candid conversation about the real reason so many practices plateau—even when the doctor is working harder than ever: a leadership gap no one trained you for.
Steve breaks down the hidden difference between management (running the day-to-day) and leadership (creating direction, clarity, and momentum)—and why most practice problems don’t live in the exam room. They unpack what happens when goals are fuzzy, communication is inconsistent, and accountability is avoided… and how that quietly creates staff friction, stalled growth, and burnout.
You’ll hear practical, immediately usable ideas—like how to build accountability without confrontation, how to identify (or develop) the right office manager, and the five pillars Steve sees behind most team issues: clarity, development, strengths, accountability, and autonomy.
If you’ve ever felt like you’re carrying the entire practice on your back… if staffing is draining your energy… or if you know your practice could grow—but your team isn’t aligned—this episode will feel like a reset.
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In this episode, Dr. Steve Vargo sits down with optometrist, author, and podcast host Dr. David Kading for an honest and timely conversation about burnout, staffing strain, and why the way we’ve been running practices may no longer be sustainable.
Steve and David explore the concept of the “Invisible Team”—virtual professionals who work behind the scenes to reduce administrative overload, protect in-office staff, and restore the parts of practice ownership that many doctors feel they’ve lost. They discuss how staffing shortages, rising complexity, and constant interruptions quietly erode patient care and physician satisfaction—and why adding more people in-office isn’t always the answer.
This conversation goes beyond cost savings or efficiency. It’s about redesigning the practice around meaningful patient connection, reclaiming time and energy, and building systems that support doctors instead of draining them. David shares hard-won lessons from implementing virtual teams in his own practice, including the mindset shifts, systems, and leadership changes required to make it work.
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If you’ve ever felt confident diagnosing dry eye… but frustrated by inconsistent follow-through, stalled treatment plans, or patients who quietly disappear, this episode will feel like a reset.
In this conversation, Dr. Steve Vargo sits down with Dr. Crystal Brimer, founder of Dry Eye Institute, to unpack why so many doctors stay stuck in “dabble mode” with dry eye—and what it actually takes to turn it into a meaningful, sustainable specialty. Dr. Brimer shares the mindset shift that changed everything for her practice, the non-negotiable systems that create consistency even in busy offices, and why most dry eye failures have far less to do with patients—and far more to do with leadership, flow, and clarity.
You’ll hear how screening every patient changes outcomes, why one well-trained “dry eye ambassador” can transform team buy-in, and how clear communication—grounded in objective findings, not pressure—dramatically improves patient trust and follow-through. This isn’t about adding another device or chasing the next trend. It’s about building a process that works in real life, with real staff, and real patients who are overwhelmed.
If you know dry eye could be a game-changer in your practice—but something keeps breaking down—this conversation will help you see exactly where, and what to do next.
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In this episode, Dr. Steve Vargo shares the full conversation from his recent guest appearance on Ankit Patel’s podcast, Optometrists Building Empires—a wide-ranging and deeply honest discussion about leadership, growth, and why so many practice owners feel stuck despite working harder than ever.
Steve and Ankit explore the unseen challenges of practice ownership that no one talks about in school: the pressure to do everything yourself, the isolation that comes with leadership, and the quiet burnout that builds when the business depends entirely on you. They unpack why mindset—not market conditions—is often the real constraint on growth, and how learning to lean on others, build systems, and redefine success can completely change the trajectory of a practice.
If you’ve ever felt overwhelmed by ownership… if you’ve wondered whether growth is worth the cost… or if you’ve sensed there’s a better way to lead without burning yourself out—this conversation will resonate deeply.
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In this episode, Dr. Steve Vargo reflects on a moment he never expected to witness as an Indiana University alum: watching IU football win a national championship after decades as one of the most historically losing programs in college football. What made the moment even more striking wasn’t just the win—it was how quickly the turnaround happened under new leadership.
Using Indiana’s transformation under head coach Curt Cignetti as a real-world case study, Steve explores why struggling practices and small businesses don’t fail overnight—they drift there slowly. Lowered expectations, tolerated dysfunction, unclear standards, and leaders who are busy but not aligned.
This episode breaks down the leadership principles behind Indiana’s rapid rise and translates them directly into lessons for optometry practices: redefining identity before strategy, raising standards without burning out your team, focusing relentlessly on fundamentals, making hard people decisions, and committing to execution long enough for momentum to compound.
This isn’t about becoming a “national champion” practice. It’s about understanding what it actually takes to change the trajectory of a business in 18–24 months.
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In this episode, Dr. Steve Vargo shares the full conversation from his recent guest appearance on Adam Cmejla’s podcast, 2020 Money—a conversation that explores why so many healthcare professionals feel conflicted, uncomfortable, or even resistant to the idea of “sales,” despite spending their entire careers trying to influence outcomes that matter.
Steve and Adam unpack how early experiences, subconscious narratives, and professional conditioning shape the way doctors communicate, prescribe, lead, and even avoid conversations that could improve patient care. They explore why being a doctor doesn’t automatically guarantee influence—and how listening, asking better questions, and letting go of control can actually create trust and clarity.
This episode isn’t about selling more products. It’s about recognizing that influence is already part of your role—and that avoiding it may be costing you more than you realize.
If you’ve ever felt tension between being a clinician and being a business owner… if you’ve ever wondered why patients don’t always follow your recommendations… or if you’ve questioned whether “sales” belongs in healthcare at all—this conversation will make you rethink everything.
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You didn’t start your practice to feel trapped inside it. Yet somewhere along the way, longer hours became normal. Days off felt stressful. And the idea of stepping away—even briefly—started to feel impossible. If you’ve ever thought, “If I’m not there, everything falls apart,” you’re not alone.
In this episode of Eye Own a Business, Dr. Ruth Mannschreck shares a powerful story that began with a personal crisis—and led to a complete rethinking of how a practice can run. What started as a necessity turned into a blueprint for freedom. Not by working harder. Not by sacrificing care or growth. But by building the right systems, empowering the right people, and leading in a fundamentally different way.
This conversation isn’t about shortcuts or “hacks.” It’s about a shift—from being the engine of your practice to becoming its architect. This episode shows you what’s possible when your business finally supports your life, not the other way around.
In this episode, you’ll learn:
- Why you’re working too much—and what actually allows you to work less
- How to build systems that run the practice without constant doctor input
- The real reason delegation often fails (and how to fix it)
- Simple ways to empower your team without losing control
- How intentional culture and leadership create freedom, not chaos
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You don’t need more motivation—you need a better system.
If you’ve ever started the year feeling hopeful, only to wonder by March where your goals went, this episode is for you.
Every January, you promise yourself this year will be different. You set goals with good intentions, real excitement, and a desire to grow. But then real life shows up—patients, staff issues, unexpected fires—and slowly, quietly, those goals fade into the background. Not because you don’t care. Not because you’re lazy. But because the way most goals are set almost guarantees they won’t survive real life.
In this episode of Eye Own a Business, we flip the script on traditional goal setting. You’ll learn why annual goals feel inspiring—but fail you when execution matters most. More importantly, you’ll discover a simple, human framework that replaces pressure with clarity, overwhelm with focus, and frustration with momentum.
In this episode, you’ll learn:
- Why you don’t fail because of motivation—but because of fragile systems
- How to turn big goals into simple, weekly actions you can actually execute
- The real reason annual goals quietly lose urgency
- Simple ways to recover fast when you fall off track
- How to create accountability without shame or burnout
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If you’ve ever watched a dry eye patient nod along… then disappear, stall, or come back unchanged, this episode will feel like a reset. Because the truth is: dry eye isn’t just “bad tears.” It’s stress, sleep, diet, inflammation, screens, habits—and a patient who’s overwhelmed by one more thing to do.
In this conversation, ophthalmologist Dr. Laura Periman (the “Dry Eye Master”) shows you how to reorient patients without lecturing or shaming them. You’ll hear how she uses simple, memorable language (and humor) to build trust, create momentum, and help patients actually stick with change. And with Science-Based Health’s Zach Denning, you’ll learn how to recommend supplements and lifestyle tools confidently—without feeling like you’re “selling.”
Hit play if you’re ready to stop chasing symptoms—and start creating real, lasting results for your dry eye patients.
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The future of optometry is evolving, and today’s new grads have different expectations, career goals, and challenges than ever before. In this episode, I sit down with Howard Purcell, OD, FAAO, President and CEO of New England College of Optometry, to discuss what the next generation of optometrists really wants—from practicing to the full extent of their licensure to navigating student debt and business ownership. We also explore the shifting dynamics between experienced ODs and new graduates, the role of AI and technology in optometry’s future, and how seasoned doctors can mentor and attract young talent to their practices.
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You might be leaving thousands of dollars on the table in contact lenses every year—and not even know it.
If you’ve ever stared at your CL numbers and thought, “We’re busy… so why isn’t this more profitable?” this episode is for you.
In this conversation, you’ll step into the shoes of a practice owner who stopped guessing and started treating contact lenses like a real profit engine. Dr. Justin Bazan didn’t do it by chasing every new brand or arguing over pennies per box—he did it by simplifying. He chose the right partners, leaned into key relationships, and built a strategy that rewards his practice for doing what’s best for patients.
If you’ve ever felt overwhelmed by vendors, confused about rebates, or frustrated that your associate isn’t on board with your preferred brands, you’re not alone. Justin has been there—and he walks you through the exact mindset and moves that changed everything, including why going deeper with fewer companies created more freedom, not less.
By the end, you’ll see your CL line differently: not as a chaotic cost center, but as a focused, trackable, and highly profitable part of your business.
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In this conversation with Dr. Brianna Rhue, you’ll step into a new way of thinking about your practice: not as a small business desperately trying to keep up with tech, but as a tech-enabled practice that happens to deliver incredible eye care. Instead of treating AI like a buzzword or a threat, you’ll see how it becomes the quiet engine behind smoother days, fewer bottlenecks, and more time with patients.
Brianna doesn’t sugarcoat the reality: ODs who ignore this shift will feel more irrelevant over time. But she also shows you a path that feels doable, even if you’re not “techy” and you’re already maxed out. From missed calls and broken systems to data you never use and staff who are stuck doing mundane work, she’ll show you how AI can quietly take weight off your shoulders while you stay firmly in control.
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In this episode, you’ll step into one of the most overlooked opportunities in eye care—an opportunity that affects every patient over 40 and can quietly transform the way your practice grows.
Dr. Amanda Nanasy shares a story most of us forget: presbyopia isn’t just a refractive change… it’s an emotional moment. It’s the instant a patient realizes their vision—and their identity—is shifting. And for many, it feels like a reminder that time is moving faster than they’d like.
But inside that discomfort is massive potential.
You’ll hear how simple conversations, better expectations, and a patient-centered fitting process can turn frustration into relief… uncertainty into confidence… and lost revenue into lifelong loyalty.
If you’ve ever rushed through a presbyope conversation, avoided bringing up multifocal lenses, or assumed a patient “wouldn’t be interested,” this episode will change how you approach these moments.
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In this episode, you’ll step into a challenge almost every practice owner faces—but few want to admit: you’re surrounded by data… and still making decisions based on gut feel.
Alongside Cathy Firman from GPN, you’ll walk through what happens when you stop guessing and start listening to what your practice is already trying to tell you—through revenue per exam, capture rate, staff performance, and the quiet leaks that add up over time.
If you’ve ever felt overwhelmed by dashboards, unsure where to focus, or hesitant to “look under the hood,” this episode will help you take your first clear step. Because when you learn to read the data, you don’t just run a healthier practice—you lead with confidence instead of reaction.
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In this episode, you’ll step inside a world few of us ever see—one where every decision carries weight, pressure is constant, and clarity is non-negotiable.
Last week, I spent a day learning from a retired Air Force fighter pilot, and what struck me wasn’t the complexity of the cockpit or the intensity of the mission. It was how much their world mirrors ours. Because while we may not be flying at 500 knots, many practice owners feel like they’re in a dogfight every single day—reacting, scrambling, and hoping things don’t fall apart.
This episode is about what happens when you stop reacting and start leading with intention.
You’ll hear how fighter pilots plan, communicate, execute, and learn with a level of focus that turns chaos into clarity. And more importantly, you’ll discover how those same tools can bring direction, confidence, and momentum back into your practice.
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In this episode, you’ll discover how world-class thinkers approach leadership, communication, and growth—and how their lessons can transform your practice.
What can an optometrist learn from the CEO of Disney, a best-selling author on sales, and a self-made billionaire who started a company with $5,000? As it turns out—everything.
You’ll hear what happens when clarity replaces complexity, when confidence replaces hesitation, and when action replaces perfection. You’ll see how persuasion becomes service, how storytelling turns strategy into movement, and how purpose fuels persistence long after motivation fades.
If you’ve ever felt stuck managing the business side of your practice or wondered how to lead and grow without losing yourself in the chaos, this episode will challenge the way you think about what’s possible.
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In this episode, you’ll discover why the next 12 to 18 months have the potential to redefine what it means to practice optometry
AI isn’t coming — it’s already here. And while some doctors are still debating its relevance, others are quietly building practices ready to lead the next era of connected care.
Dr. Rupe Hansra, VP of Professional Affairs at Topcon Healthcare, joins Dr. Steve Vargo to explore how AI is transforming everything from diagnostics to communication — and why optometrists stand at the center of this revolution.
You’ll learn how “Oculomics” is unlocking insights that go far beyond the eye exam, and what steps you can take now to future-proof your practice for the changes ahead.
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What would it take to open a practice cold and within 5 years achieve a level of financial success that many practices never reach… becoming a multi-million-dollar practice?
In this episode, Dr. Joel Tuite takes us through his 5-year journey, year-by-year. Some of the topics we cover are how he attracted patients in the lean years, the importance of putting staff first and treating patients like family and how having a vision of success keeps you motivated and optimistic even during challenging times. According to Dr. Tuite, “If you can envision it, it will happen.
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In this episode, you’ll discover why the true value of your practice isn’t built when you sell—it’s built every day you show up to lead it.
Nathan Hayes joins me to unpack the mindset and strategies of owners who play the long game—the ones who treat every decision as an investment in their future freedom. They don’t wait until retirement to think about value. They build systems that run without them. They create teams that thrive without micromanagement. And they keep their practices so well-run that buyers line up when it’s time to exit.
If you’ve ever wondered what you can be doing now to ensure your practice grows in value—this episode will change the way you think about ownership.
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In this episode, you’ll discover why the most powerful tool in your practice isn’t your OCT or your EHR—it’s your voice.
Dr. Steve Vargo shares a personal story of the time he bombed his first big presentation. Months of preparation, flawless slides, and bullet-point perfection… and yet, the audience checked out. That failure became the turning point that taught him one truth every doctor needs to know: information doesn’t inspire action—connection does.
You’ll learn how the same techniques great speakers use on stage—clarity, storytelling, and confidence—can transform the way you communicate in the exam room. Because every patient encounter is a performance, and the way you deliver your message determines whether patients tune out or take action.
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In this episode, you’ll step into a conversation that challenges the way most ODs think about marketing.
It’s easy to see marketing as an expense, a line item on a budget that you either cut or dabble in when things slow down. But what if you looked at it differently? What if your marketing wasn’t about spending more—but about finally getting clear on who you are, who you serve, and how you want to grow?
Jeremy Bono from IDOC Marketing Services joins me to share why the last three months of the year are the perfect time to reset, reflect, and get intentional about 2026. Together, we unpack how successful practices approach marketing not as guesswork, but as a system—one built on consistency, differentiation, and alignment with the practice’s bigger vision.
If you’ve ever felt like your marketing dollars weren’t pulling their weight, or you’ve wondered how to stand out in a crowded market, this episode will give you the clarity and direction to turn uncertainty into a strategy—and marketing into momentum.
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In this episode, you’ll hear what happens when a group of forward-thinking ODs come together, not just to share clinical tips, but to challenge the way we think about contact lenses.
We didn’t sit around talking about products. We dug into something bigger—the opportunities hiding in plain sight. The moments when patients walk out the door because we never asked the right question. The silent objections that keep them from trying contacts. The staff conversations that either build excitement or quietly kill momentum.
Dr. Tara Vaz joins me to bring you inside that Puerto Rico roundtable, where successful doctors admitted they still face the same barriers we all do—but also revealed how they’re turning those barriers into growth.
If you’ve ever wondered why more of your patients don’t say yes to contacts—or how to stop the dropouts before they happen—this conversation will give you practical ways to make contact lenses a true growth engine in your practice.
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In this episode, you’ll discover what reinvention really looks like when innovation isn’t just a buzzword—it’s a mindset.
Davis Corley, CEO of Newton (formerly Neurolens), didn’t just announce a rebrand. He revealed a bold new vision for the future of eyecare—one that challenges us to rethink how we lead, how we innovate, and how we meet the expectations of a new generation of patients.
We talk about why “innovation” is really just change with purpose, why lagging behind is riskier than ever, and how practices can future-proof themselves by embracing the tools and technologies that patients already expect. From AI-powered staff training to breakthrough lens designs for today’s screen-heavy lifestyles, this conversation isn’t about products—it’s about the future of your practice.
If you’ve ever felt hesitant about change, this episode will show you how leaning into innovation can unlock growth, loyalty, and a patient experience that truly stands out.
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In this episode, you step into the exam room with two ODs who turned “maybe someday” into a thriving myopia management program—without waiting to have it all figured out.
Dr. Alecia Barnes and Dr. Jenn Lyerly share how they moved from dabbling to discipline: simple scripts that spark parent buy-in, a clean consult flow that saves time, pricing built on chair cost (not guesswork), and team training that keeps the message consistent.
No hype. No heroics. Just a clear path from “interested” to “implemented”—so more kids get better outcomes, your team has a plan, and your practice gains a specialty that compounds over time.
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In this episode, you step into a future that’s already knocking on your door—and learn how to meet it with confidence.
Dr. Scot Morris doesn’t talk about artificial intelligence; he tells the story of a profession on the edge of reinvention. If you’ve ever felt buried by admin, boxed in by EHRs, or frustrated by 3rd-party red tape, this conversation reframes what’s possible when you pair human care with technology.
Because the future won’t replace you. The future will reward you—if you learn to lead it.
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In this episode, you’ll step into the shoes of tomorrow’s patient—and see how their expectations are already reshaping the way you need to run your practice today.
The healthcare world isn’t changing slowly anymore. It’s being redefined by the same forces that transformed shopping, travel, and entertainment. Amazon taught us convenience. Netflix taught us personalization. Uber taught us immediacy. And now, your patients are quietly expecting the same from you.
Through research, stories, and real-world examples, we’ll explore how the “patient of the future” is more than just a phrase—it’s your next appointment. They want transparency in pricing, digital convenience, personalized options, and the human connection that builds trust. They’re not comparing you to the OD down the street. They’re comparing you to every consumer experience they’ve had this week.
If you’ve been running your practice the same way for the past five or ten years, this episode may feel like a wake-up call. But it’s also an opportunity. Because if you understand these shifts and act on them now, you won’t just meet expectations—you’ll exceed them, build loyalty, and future-proof your practice.
The future isn’t five years away. It’s already here. The only question is: are you ready?
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To celebrate 100 episodes, we're bringing you the best insights from our top 5 most downloaded shows. From team building and leadership to optical strategy and staff training, this episode pulls the key takeaways that have helped practices scale fast and smart.
You'll hear highlights from:
- Sharon Carter on leadership development and executing what matters most
- Susan Daly on designing an optical that sells for you
- Dr. Joel Tuite on growing a cold-start practice to seven figures in 5 years
- Kayla Ashlee on turning staff training into a growth engine
These are the actionable nuggets that have resonated most with our audience and could be game changers for your practice.
🎧 Listen in, take notes, and revisit the full episodes linked below if you want to go deeper!
Full Podcast Episodes:
Structure Your Optical so the Selling is Done for You:
https://www.podbean.com/media/share/pb-nn4ga-14280fd
Staff Training: A Recipe for Success:
https://www.podbean.com/media/share/pb-jqyyy-1402173
Team Building: The Magic to Creating a Multi-Million Dollar Practice:
https://www.podbean.com/media/share/pb-76rqk-13b6557
Becoming a Multi-Million Dollar Practice in 5 Years:
https://www.podbean.com/media/share/pb-whmh6-143e978
Take Your Practice to the Next Level:
https://www.podbean.com/media/share/pb-e9xkt-159e1a5
Additional Links:
Sharon is the owner of ECOC Optometric Consulting. Learn more about her company here: https://ecoc.biz/
Click here to access Kayla’s New Hire Training Checklist
In this episode, you’ll discover why the most powerful thing you can say to a patient might be nothing at all.
It started with one piece of advice from a seasoned VP of sales: “Ask a question, and then just shut up.” Simple, but transformational.
We explore how this counterintuitive approach can change everything—from the way patients perceive your recommendations to the trust they place in you. You’ll see how talking less can actually reveal more, leading to better outcomes, stronger relationships, and fewer missed opportunities.
If you’ve ever felt frustrated watching a patient nod politely and walk away from a solution you know they need, this conversation will give you a new framework—one that taps into human psychology, emotional decision-making, and the subtle art of listening.
Because sometimes, the best way to sell, educate, or inspire action is to stop talking and start hearing what matters most.
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In this episode, you’ll discover how small, steady changes can quietly transform a practice—and your future.
Dr. Mariah Smith didn’t make one big leap. Over the past decade, she built a thriving, six-times-more-profitable practice by making intentional improvements—one at a time.
No shortcuts. No flash. Just smart systems, better leadership, and the discipline to keep going.
If you’re feeling stuck, overwhelmed, or unsure how to grow without burning out, this episode will show you what’s possible when you play the long game.
Because success isn’t always loud. Sometimes, it looks like quiet momentum that never stops.
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You didn’t become an optometrist to feel like a discount retailer. But somewhere along the way, insurance plans took over, patients started price-shopping, and the optical—once the heart of your business—started to feel like a race to the bottom. In this conversation, we step back and ask: What if the problem isn’t the patients? What if it’s how we’ve been taught to sell to them? We explore the emotional side of optical retail—from the silent frustration of presenting options you know are better, only to have patients walk, to the missed opportunities hiding in your pricing strategy, your frame boards, and even your staff conversations. Chris Millet from Modern Optical helps us unpack the psychology of choice, the power of perceived value, and how a few key changes in the patient journey can reignite not just your profits—but your passion for helping people see and look their best.
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In this episode, Dr. Steve Vargo welcomes Dr. Juawana Hall to discuss the importance of understanding generational differences in patient care. They explore how different generations, from Boomers to Gen Z, have distinct expectations and behaviors regarding eye care. Dr. Hall shares her journey and the methods she uses to tailor communication and recommendations to various age groups. The discussion delves into the value of personality profiling, generational models, and the specific preferences and needs of each age group. They also discuss innovative approaches to contact lens recommendations and the importance of personalizing patient interactions to build loyalty and provide superior care.
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In this episode, Dr. Steve Vargo chats with Dr. James Wood to discuss the underutilized potential of retinal imaging in eye care practices. They explore how retinal imaging, particularly widefield and ultra-widefield imaging, can significantly enhance patient education, boost compliance, and improve financial outcomes for practices. Dr. Wood shares practical tips for obtaining clearer images and strategies for increasing patient acceptance of screening procedures. The conversation also delves into the future of retinal imaging technology and its role in addressing the growing needs of an aging population.
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In this episode of Eye Own a Business, Dr. Steve Vargo sits down with Cindy Braden, Vice President of Sales at OneSpot, to uncover the hidden breakdowns in the billing process that are costing eye care practices serious money. From aging A/R to the risks of relying on a single biller, Cindy shares eye-opening insights on how to protect your revenue and streamline your billing systems—whether in-house or outsourced. You’ll also hear how technology, including AI, is reshaping revenue cycle management and giving practices powerful tools to stay ahead.
If you're tired of leaving money on the table, this episode is your blueprint for identifying billing gaps, improving collections, and gaining control of your financial health.
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In this episode, Dr. Vargo sits down with Dr. Elizabeth Roush, a practice owner from Northeast Indiana, to discuss the transformative impact of annual retreats on leadership, teamwork, and business growth. Dr. Roche explains the logistics, planning, and execution of successful annual retreats, sharing how they have become her staff's favorite day of the year. She delves into the themes, activities, and strategies that make these retreats effective, including team-building exercises, custom-tailored content, and the importance of fostering vulnerability and connection among staff. Dr. Roche also provides insights on maintaining the momentum of retreat learnings throughout the year for sustained improvements in practice operations and patient care.
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In this episode, host Dr. Steve Vargo turns the focus to leadership, presenting the CLEAR Leadership Model. Dr. Vargo outlines a five-step framework designed to build trust, boost accountability, and foster engagement within an eyecare practice. The model, which stands for Coach with Curiosity, Lead by Listening, Equip with Skills, Align Around Purpose, and Reinforce through Recognition, aims to simplify effective leadership through intentional communication. Whether you're an office manager, team lead, or practice owner, this episode provides practical insights to improve team dynamics and drive better performance.
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In this episode, Steve interviews Dr. Garrett Whitmore, an OD who has successfully implemented the Entrepreneurial Operating System (EOS) to manage his thriving, multi-location practice. Dr. Whitmore explains the six core components of EOS—vision, people, data, issues, processes, and traction—and how these practical tools help run a business efficiently. He shares his journey, from the initial struggle to get team buy-in to achieving significant growth and operational excellence. The conversation also dives into accountability, the importance of clear vision and communication, and the role of coaches in successfully adopting EOS. Dr. Whitmore offers valuable advice for other practice owners considering EOS, emphasizing the impact on both professional success and personal well-being.
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In this episode, the focus is on the integral yet often overlooked area of lens technologies, including progressive lenses, task lenses, and digital enhancements. The guest, Phil Cummins, Director of Sales at Three Rivers Optical, shares insights into the latest advancements in lens technology, particularly around filters for headaches, myopia control lenses, and progressive lenses. The discussion covers the rapid changes in lens technology, the importance of understanding patient needs, and the role of AI and data in optimizing lens choices.
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In this episode, we welcome back Ankit Patel to discuss the innovative use of AI in his business, My Business Care Team, which provides virtual staffing solutions for eyecare practices. Ankit explains how AI can address staffing challenges, create effective job descriptions, facilitate behavioral-based interviews, and streamline the hiring process. He also delves into AI's role in training and development and practical steps to integrate AI into workflows for improved efficiency and automation.
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In this episode, Dr. Jeremy Ciano shares insights into his journey in pediatric optometry. Dr. Ciano moved to Indiana and started an adult clinic 18 years ago, expanding into pediatric care 12 years ago. Now with four practices, he discusses the unique challenges and rewards of pediatric eye care. Highlights include essential qualities for pediatric specialists, the significance of compassionate staff, and effective marketing strategies, particularly the benefits of consistent communication with pediatricians. Dr. Ciano also emphasizes the importance of creating an inviting environment for children and the importance of balancing fun and professionalism in pediatric care.
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In this episode, Dr. Steve Vargo chats with Corey Pinnegar, founder of remote staffing company TEEM. They delve into the evolving landscape of remote work in optometry. They discuss the challenges of staffing shortages, rising payroll costs, and the potential for virtual assistants (VAs) to fill gaps and alleviate administrative burdens in optometry practices. Corey shares insights on integrating VAs into teams, emphasizing trust, clear expectations, and continuous employee development. This episode provides valuable guidance for practice owners considering the leap to remote staffing solutions.
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In this episode, I’m joined by respected optician and educator Joy Gibb to explore how integrity, empathy, and curiosity—not sales tactics—drive the most impactful optical experiences. Joy introduces the concept of core value dispensing, where product recommendations are rooted in genuine care and a desire to improve each patient’s quality of life. We discuss how opticians can uncover lifestyle needs through better questions, collaborate more effectively with doctors, and build lasting trust with patients. Whether you're a doctor, optician, or team leader, this episode offers practical insights to help you elevate care, boost confidence in recommendations, and align your work with what matters most.
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In this episode, Dr. Steve Vargo interviews Dr. Charles Posternack about his extensive career in healthcare and the founding of Avulux, a company dedicated to developing specialized lenses to aid migraine sufferers. Dr. Posternack shares personal stories and statistical insights into the prevalence and impact of migraines, particularly on those under 50 and on veterans. He explains the scientific basis behind Avulux lenses, their effectiveness, and their high success rate. The discussion also covers the FDA-approved safety of these lenses and the significant opportunity they present for optometrists to differentiate their practices and better serve patients.
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In this episode, Dr. Steve Vargo explores the impact of recent tariffs on the eye care industry. Joined by Omar Elkhatib, Senior Manager of Government Relations, and Rick Van Arnam, regulatory counsel from the Vision Council, they discuss the implications of tariffs imposed on various countries, emphasizing how eyecare professionals might be affected. Key insights include the impact on costs for optical products such as frames, lenses, and equipment, and strategies for managing these challenges.
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In this special episode of Eye Own a Business, I’m sharing three powerful conversations from a previous podcast I hosted, Can I Ask You One Question? Each segment features a bestselling author exploring a common theme: how to influence human behavior in ways that lead to better outcomes—for your patients and your practice. You'll hear from Dr. Stephen Trzeciak on the science behind compassionate care, Dr. William Miller on what truly motivates people to change, and Dr. Kathleen Starr on overcoming resistance to healthcare recommendations. Whether you're leading a team or guiding patients, this episode offers science-backed insights you can apply right away.
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In this episode, Steve Vargo interviews Nathan Hayes, discussing the challenges and strategies surrounding payroll and hiring in optometry practices. They explore the complexities of hiring decisions, balancing fear and logic, and the importance of having the right team members to drive growth. They also touch on practical advice for managing staff, the benefits of outsourcing tasks like bookkeeping, and the nuanced role of incentive bonuses. The conversation aims to provide clarity and actionable insights for practice owners navigating the current labor market.
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In this episode, Dr. Steve Vargo addresses a common challenge faced by practice owners: how to increase revenue production from associate ODs. He emphasizes the importance of clear communication in setting expectations, tracking performance metrics, and having productive review meetings. Dr. Vargo highlights the need for mentorship, focusing on patient care rather than just revenue, and creating a supportive environment. He concludes with tips on hiring the right associate and key metrics to track for ongoing success.
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In this episode, Dr. Jennifer Stewart returns to discuss her remarkable journey back into private practice after selling her first practice. Reflecting on her initial decision to step away and the motivations behind her return, Dr. Stewart shares insights into what she learned about patient care and business operations. The conversation explores the challenges and rewards of cold starting a new practice and highlights the importance of focusing on what one truly enjoys in the profession. This episode offers valuable advice on decision-making, risk-taking, and seeking support from others in the optometry field. Dr. Stewart's candid discussion provides a blend of success stories and lessons from failures, making it a must-listen for anyone considering changes in their practice or career path.
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The future of optometry is evolving, and today’s new grads have different expectations, career goals, and challenges than ever before. In this episode, I sit down with Howard Purcell, OD, FAAO, President and CEO of New England College of Optometry, to discuss what the next generation of optometrists really wants—from practicing to the full extent of their licensure to navigating student debt and business ownership. We also explore the shifting dynamics between experienced ODs and new graduates, the role of AI and technology in optometry’s future, and how seasoned doctors can mentor and attract young talent to their practices.
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In this episode, Kayla Ashley, founder of Spexy, joins the podcast to discuss the importance of influential communication and how simple behavioral adjustments can notably improve patient trust and practice outcomes. Ashley shares actionable insights into reducing patient walkouts, optimizing team interactions, and enhancing the overall patient experience. The significance of active listening and the impact of non-verbal cues are also highlighted to ensure patients feel heard and understood, thus fostering loyalty and increasing sales. This episode offers invaluable advice to both doctors and optical staff aiming to boost their communication skills and practice effectiveness.
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At The Connection 2025, Dr. Todd Cohan discusses the importance of integrating a business mindset into optometry practices. He shares insights on balancing patient care with effective business management, highlighting three pillars of his practice: primary eye care, myopia management, and dry eye treatment. Dr. Cohan emphasizes the need for entrepreneurial skills, the significance of valuing staff, and the methods of creating accountability and trust within the team. He also shares his journey of transitioning from traditional eye care to specialized services to ensure sustainable growth and patient satisfaction.
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In this episode, Jeremy Bono, a new addition to the IDOC team, delves into his experience in the eye care space, specifically focusing on marketing for optometrists. He emphasizes the importance of defining personal brand values and mission, leveraging SEO, and using AI for competitive analysis and strategy refinement. Throughout the conversation, Jeremy offers actionable advice on creating effective websites, the role of social media, and the significance of both digital and traditional marketing methods.
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In this podcast episode, we tackle the often uncomfortable topic of 'selling' in the eye care profession. Despite being trained primarily as clinicians, optometrists and opticians can greatly benefit from understanding effective sales techniques. Host Steve Vargo introduces the CLEAR Sales Model - a simple, repeatable system that helps guide patients through the eyewear selection process. The model stands for Connect with the patient, Listen actively, Educate on options, Address concerns, and Recommend the best solution. Through this approach, eye care professionals can enhance patient trust, improve sales without feeling pushy, and ultimately ensure patients walk away with the best vision solutions.
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In this episode originally aired on the 20/20 Money podcast, certified financial planner Adam Cmejla and Dr. Steve Vargo discuss the importance of staying true to one's vision and passion in practice ownership. The conversation highlights common pitfalls such as the temptation to mimic other successful practices and urges optometrists to avoid unnecessary comparisons. Steve shares insights on identifying and focusing on activities that align with one's vision, experimenting with new ideas, and making well-considered decisions in practice management. The episode also emphasizes the importance of learning from failures, finding joy and passion in one's work, and balancing financial success with personal fulfillment.
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Are you stuck in the “Admin Day” mindset, drowning in tasks that keep you from growing your practice? In this episode, Steve and guest Adam Cmejla challenge the way optometry practice owners think about time management, delegation, and productivity. They explore why so many ODs struggle to let go of certain tasks, how opportunity cost affects practice growth, and why saying no to low-value activities can be the key to scaling successfully.
Tune in to learn actionable strategies for reclaiming your time, avoiding burnout, and focusing on what truly moves the needle in your business and personal life. Plus, Adam shares his “Next Best Step” framework to help you start making immediate changes.
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In this episode of Eye Own a Business, Steve welcomes practice management experts Sharon Carter and Lynn Lawrence to discuss their keynote presentation, How to Embrace Change and Implement It, which will be delivered at the upcoming IDOC Connection conference in February. The conversation explores why change is challenging in optometry practices, how to implement it effectively, and the critical role leadership plays in navigating change. Sharon and Lynn share insights on overcoming resistance, building strong teams, and developing processes that drive success.
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In this episode, Steve sits down with Ankit Patel to discuss the integration of AI in his optometry practice. They explore various applications of AI, from enhancing hiring processes and staff training to streamlining operations and creating SOPs. Ankit shares practical advice on leveraging AI tools like ChatGPT and Claude, highlights the current capabilities and limitations of AI, and reflects on its future potential in the eyecare field.
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In this episode, Dr. Steve Vargo addresses the topic of selling within the eyecare industry. He emphasizes the need to reconceptualize selling not as a pushy tactic, but as an extension of patient care. Drawing from his book, 'But I Don’t Sell,' Dr. Vargo discusses the importance of understanding patient needs, emotional drivers behind decision-making, the 'trust gap,' and strategies to overcome common objections. He offers actionable tips like asking better questions, clearly communicating value, and creating a sense of urgency to enhance patient outcomes and practice revenue. The episode aims to reduce the stigma around selling and help eye care professionals provide better, more ethical care.
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In this insightful episode, Dr. Steve Vargo interviews Dr. Janelle Davison, a leader in dry eye therapy and owner of Brilliant Eyes Vision Center and Premier Dry Eye Spa. Dr. Davison offers advice for ODs looking to grow their dry eye services, starting with simple steps and gradually advancing their offerings. The episode underscores the significance of combining innovation with tradition to achieve lasting success in dry eye management and patient satisfaction.
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In this episode of Eye Own a Business, host Steve Vargo dives into the often-dreaded topic of workplace conflict, reframing it as an opportunity for growth rather than a threat to harmony. Drawing from personal experiences, leadership workshops, and compelling research, Steve explains why conflict is a natural and even beneficial part of team dynamics—when managed effectively.
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In this episode, Dr. Vargo converses with Dr. Amanda Nanasy, an expert in neuro-optometric rehab in South Florida. They delve into the potential for optometrists to treat patients with headaches more effectively, challenging common assumptions and exploring practice-building opportunities. Dr. Nanasy shares her methods for diagnosing and treating headaches, the role of Neurolens technology, and the importance of patient and provider education. Additionally, she provides insights into managing referrals and co-managing with other healthcare providers to enhance patient outcomes.
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In this episode, Dr. Steve Vargo discusses the transformative power of one-on-one meetings with Dr. Steven Rogelberg. Dr. Rogelberg, an organizational psychologist and author of acclaimed books on meetings, explains how effective one-on-one meetings can improve team culture, boost productivity, and enhance employee retention. They dive into why bad meetings fail, the benefits of one-on-one meetings over team meetings, and how leaders can structure these interactions for maximum impact.
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In this episode, industry experts Dr. Jessilin Quint and Dr. Janelle Davison share their insights on integrating new technologies in optometry practices. They discuss the impact of innovation on patient care, particularly through the lens of dry eye treatments and the new Precision7 contact lenses. The conversation covers strategies for convincing both staff and patients to adopt new technologies, emphasizing patient comfort, innovative treatment plans, and the importance of clear communication. The episode also touches on the benefits of the new Precision7 lenses, including its intuitive one-week disposable schedule, sustained comfort, and blue light filtering technology.
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2023 Optometry Benchmarks Report Download
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Case Study: See The Strategies Needed to Say Relevant in The Market
In this episode, Dr. Steve Vargo and Dr. Justin Kwan from CooperVision discuss how optometrists can effectively respond when parents say "not interested" to myopia management recommendations. They share insights gathered from a recent workshop with over 60 doctors and explore strategies to handle patient objections with empathy and clarity.
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Case Study: See The Strategies Needed to Say Relevant in The Market
In this episode, Dr. Steve Vargo interviews Dr. Garrett Whitmore, a successful optometry practice owner who expanded from one to six locations, doubling revenue multiple times. Dr. Whitmore shares insights into the challenges of scaling a practice, emphasizing the importance of leadership, systems, culture, and marketing. He discusses the role of strategic planning and communication, offers strategies for maintaining consistency across multiple locations, and highlights the benefits of utilizing third-party services. The conversation also touches on effective partnership communication and the impact of structured marketing strategies on practice growth.
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Case Study: See The Strategies Needed to Say Relevant in The Market
In this episode, Dr. Steve Vargo challenges traditional notions of business success by emphasizing the importance of embracing failure. Contrasting the usual focus on success strategies, Dr. Vargo advocates for taking risks and learning from failures, highlighting how an experimental mindset can drive growth and innovation in optometry practices. Through practical examples and industry insights, he illustrates how small, low-risk tests can provide valuable data and lead to significant improvements. He also emphasizes building a culture of experimentation within practices and encourages staff empowerment to test new ideas.
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Case Study: See The Strategies Needed to Say Relevant in The Market
In this episode, Dr. Steve Vargo speaks with Johann Van Zyl, Business Development Manager at Younger Optics. They discuss the vital role of second pair sales in the profitability of independent optical practices. Johan shares insights on effective communication strategies for both doctors and opticians, the importance of understanding patient needs, and how independent practices can learn from the success of corporate optometry. They also explore the role of discounts, the significance of dedicated sunwear sections, and how to educate patients about specialty lenses to enhance their visual experience.
Find more information about how IDOC can help grow your practice at Optometry Practice Management & Alliance | IDOC
In this episode, Dr. Steve Vargo interviews Dr. Allie Markowski, an optometrist specializing in migraine management using Avulux lenses. Dr. Markowski shares her journey of incorporating this technology to help patients suffering from migraines and light sensitivity, drawing from her own experience as a migraine sufferer. The discussion covers how to effectively integrate a migraine subspecialty into an optometry practice, emphasizing patient communication, staff training, and the potential for both improved patient outcomes and practice profitability. The episode highlights the benefits of differentiating a practice through specialized care and offers insights on how to get started with Avulux lenses.
In this episode, Dr. Steve Vargo engages in a deep conversation with Dr. Bart Higley, an IDOC member and owner of New England Eyeworks, to explore the story of his highly successful optometry practice. Dr. Higley shares insights on how he has never accepted vision plans, highlighting the benefits of operating a cash-pay model, focusing on quality of care, and emphasizing the importance of brand and patient experience. The discussion touches on metrics, marketing strategies, and managing patient expectations, offering valuable advice for practice owners contemplating a similar path.
Learn more about how IDOC can help your practice at Optometry Practice Management & Alliance | IDOC
In this episode, special guest Dr. Scott Moscow, Clinical Director at Roswell Eye Clinic, shares insights on preventing contact lens dropouts and reigniting interest in contact lenses among patients. The discussion covers the benefits of contact lenses for both patients and practices, methods to increase contact lens capture rates, and the importance of consistent staff training. The episode also explores how to address common patient complaints about contact lenses, the business impact of fitting more patients with contact lenses, and innovative strategies for effectively presenting contact lenses to patients.
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In this episode, Dr. Steve Vargo interviews Robert Rivera from Shamir about their advanced lens technology aimed at enhancing driving safety and comfort. Rivera, who has extensive experience in optics, explains the features of Shamir’s Driver Intelligence lenses, including special nighttime myopia correction and advanced AR coating to reduce visual noise. They discuss how these specialty lenses can differentiate optical practices and drive sales by addressing specific needs of patients. Rivera emphasizes the importance of product knowledge and patient engagement, suggesting methods for opticians and optometrists to introduce and market these lenses effectively.
Learn more about IDOC: Optometry Practice Management & Alliance | IDOC
In this episode, Dr. Steve Vargo interviews Norm Kester, founder of the outdoor lifestyle brand RLVNT. Launched in 2019, RLVNT specializes in eyewear designed to meet the unique needs of outdoor activities such as hunting, fishing, and golf. Norm discusses the unmet demand in the market for specialized eyewear and how his products fill that gap. The conversation covers relevant statistics about the outdoor activity market, the innovative features of their eyewear, including UV and screen-view technology, and the importance of understanding and catering to patients' passions. The episode concludes with recommendations on how optometry practices can integrate and promote specialized eyewear solutions to better serve their patients.
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In this episode, host Dr. Steve Vargo dives into the intricacies of digital advertising, specifically focusing on Google Ads, to help practice owners increase visibility and attract more patients. Dr. Vargo is joined by Onyé Anyanwu, Senior Marketing Strategist at IDOC, who offers detailed insights into creating effective Google Ads campaigns. Key topics include keyword research, optimizing ad copy, tracking performance metrics, and understanding the future trends like AI in digital marketing. This episode is a valuable resource for anyone looking to enhance their practice’s marketing strategies.
In this episode with Dr. Shane Swatts of Eastern Virginia Eye Associates and Riley Azevedo, marketing manager at Science Based Health, the focus is on helping practice owners develop successful dry eye specialties without significant upfront investments. Dr. Swatts discusses his diverse career, including working with professional athletes and his transition to specializing in dry eye treatments. Emphasizing the importance of foundational home therapy, Dr. Swatts talks about practical strategies like using a slit lamp, stains, and minimal but effective tools like meibography and slit lamp cameras for diagnosing and treating dry eye. Riley Azevedo contributes insights on integrating nutraceuticals and highlights the necessity of effective internal branding and marketing. Both guests underscore the importance of patient education, persistent follow-ups, and setting realistic expectations for treatments. The episode also touches on the future of dry eye management, emphasizing the roles of AI and proactive strategies in enhancing patient care.
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Dr. Susan Elizondo shares her journey of transforming her practice into a private pay model and focusing on high-end optical services. By dropping insurance plans and offering a premium experience, she has increased her revenue per patient and created a practice that aligns with her values and goals.
Learn more about IDOC: Optometry Practice Management & Alliance | IDOC
Artificial intelligence can’t replace eyecare providers (not yet anyway), but it can certainly make our work lives easier. In this episode, we shine a spotlight on ChatGPT – a remarkable tool that harnesses AI to generate human-like text, images, and conversational dialogue. We'll share specific examples of how ChatGPT can simplify tasks and workflows in an eyecare practice, potentially saving you countless hours of work each week.
The future is here! With the help of AI technology, you can take working smarter, not harder, to a new level.
Nathan Hayes, the director of financial services at IDOC, discusses the importance of comparing practice financials to other practices. He explains how the Books and Benchmarks service can provide accurate and reliable data to help practice owners make informed decisions about their business.
Download the report here: https://bit.ly/44HRX0V
Technology will continue to disrupt the eye care profession. This poses both opportunities and threats for ECPs. In this episode with Travis Beaven, Alcon’s Global Vice President of Vision Care Digital Health, we discuss the role technology will play in the future of eye care.
A few things we discuss are which technologies will have the greatest impact on the eye care profession, artificial intelligence, adapting to change, privacy issues, and much more!
While change and disruption can be unsettling, it also opens the door for innovation and new opportunities that improve the experience for both provider and patient.
Learn more about MARLO: https://home.meetmarlo.com/
Managing billing operations has historically been one of the most challenging tasks of practice ownership. In this episode we explore the reasons for this, how practices are handling (or not handling) these challenges, and the evolving role of technology in billing. One of the more exciting platforms to hit the market is OneSpot, a centralized digital hub to streamline billing processes. OneSpot is productivity software for your insurance biller. The tool helps billers organize, manage, track, and resolve outstanding insurance claims. OneSpot also gives eyecare practice owners and managers visibility into their insurance billing operations, something that the PMS/EHR has not been able to do. Tune in to gain insights into the future of billing and the role OneSpot plays in shaping it.
Resistance to a sale is often countered with additional patient education, assuming that more information will lower the barrier to a sale. In reality, many of our purchase decisions are not driven by what we KNOW about something, they’re driven by what we FEEL about something.
Fear, excitement, anticipation, trust, safety, confusion, curiosity, and certainty are some examples of emotions that influence our purchase decisions. Research shows the overwhelming majority of our decisions are primarily driven by emotions, not logic.
In this episode we explore some of the not so obvious reasons people resist making a purchase, along with strategies to counter these situations.
In this episode, Selin Olmsted (founder of Selin Olmsted Studio) shares her expertise on a topic many ODs marginalize. Eyewear fashion and design!
A few things we discuss are insights on the latest eyewear trends, factors to consider when selecting frames, options for implementing private label, and adapting to future trends.
Doctors know a lot about the clinical side of eye care. Patients want great vision and healthy eyes, but don’t neglect something that is also very important to your patients… Looking good!
More about Selin and her company https://www.selinolmsted.com/
In this episode, Sharon Carter shares her strategies for getting “unstuck” and taking your practice to the next level.
We cover a lot of reasons practices fail to reach their full potential and how to put strategies in place to maintain growth. Spoiler alert! You can’t do this alone. After a certain point, designating a leadership team is necessary. However, those efforts can be sabotaged by putting the wrong people in these roles. It’s also possible that you have the right people with the right attributes, but your approach to promotion and development sets them up for failure.
What’s the best way to track success? Numbers! In Sharon’s words, “The numbers don’t lie.” In this interview we cover the importance of KPI’s (key performance indicators), which KPI’s to track, and how to hold employees accountable for outcomes.
Sharon is the owner of ECOC Optometric Consulting. Learn more about her company here: https://ecoc.biz/
In this episode, Dr. Mike Neal shares how he transformed his practice by removing many of the obstacles that prevent practice owners from building a great team.
A few things we discuss are taking emotion out of the interview process, the importance of focusing on talents and strengths rather than just experience, what we can learn from companies like Disney to ensure better hires, and how to get clear on which applicants to reject and which to call in for an interview.
If you're ready to change the game and set yourself up for hiring success, you’ll love this episode!
Dr. Mike Neal is the owner and CEO of Build My Team. Learn more about his company here: https://www.buildmyteam.com/
In this episode, we explore the key elements of a successful staff meeting that leaves a lasting impact. The planning phase takes center stage, emphasizing the importance of identifying the need, purpose, and intention of the meeting. The episode highlights the perpetual nature of issues to address and emphasizes the value of delivering a clear and focused message, recognizing that less is more when it comes to information absorption.
Collaboration is introduced as a powerful tool during staff meetings, illustrating how discussions among attendees can enhance information retention. The "So what?" test is discussed as a practical tool for filtering information, ensuring that only essential and impactful content is included in meetings. Authenticity in delivery is emphasized, covering gestures, tone, and conviction. Tune in to discover actionable insights for transforming your staff meetings into engaging and effective sessions.
More about Erin at https://erinmomalley.com/
In this episode, Dr. Aaron Neufeld shares his strategies for leveraging referrals from other doctors to grow his practice.
When it comes to marketing your practice, many ODs think of traditional marketing strategies such as social media, online or print marketing, and having a great website. These are all important to grow a practice, but in this technological world we often marginalize face to face marketing.
In this interview, we focus on Dr. Neufeld’s strategies for securing more referrals, what to expect when you begin this process, which doctors to target, how to sustain a very productive relationship, and how to overcome some of the obstacles you will likely face.
In this episode, Stanford lecturer Matt Abrahams shares valuable insights about listening and communication from his book, Think Faster, Talk Smarter: How to Speak Successfully When You’re Put on the Spot
Doctors are tasked with solving problems for their patients, but as Matt points out, it’s not hard to solve problems, it’s hard to find the right problems to solve.
In this interview, we focus on asking better questions and sharpening our listening skills. Matt says that questions get the other person more invested in the problem itself and the desire to solve it. “When it comes to communication, we over index on the speaking part and we need to balance that out with the listening part,” he says. When it comes to establishing connections, building trust, and uncovering problems (all vital to patient care), we need to do more listening than talking.
More about Matt at Mattabrahams.com
The best practices are NOT constantly trying to motivate people, they just have better systems in place, and they manage the systems. That's much easier than constantly managing (and motivating) people.
Do you agree or disagree with the above? In this episode, I take on the interviewee role as Erich Mattei, President of Akrinos, interviews me on this topic for his podcast. We attempt to answer the question, “Which is more effective when it comes to managing employees, motivation or systems?”
One of the biggest checks you write is to your lab, yet many practices seem to tolerate a lot of bad service from the labs they partner with. Dr. Barton Higley is one doctor who had enough, ultimately partnering with an independent lab out of Pittsburgh called Three Rivers Optical.
In this episode Dr. Higley describes his struggles with the labs he used prior. Poor customer service, poor quality, and inexperienced reps led him to pursue alternatives. Based on prior experience he was understandably skeptical, but he explains how Three Rivers Optical surpassed all his expectations.
Dr. Higley asked himself an important question, “Does their business model align with our practice model?” After partnering this Three Rivers his question was answered. They did! Does YOUR lab align with YOUR practice model?
Find out more: https://3riversoptical.com/
Link to meet with Dr. Higley: https://go.oncehub.com/HigleyThreeRiversPeerConsulting
Approximately 50 percent of doctors are experiencing professional burnout. In this episode we explore the most common reasons for this and what you can do to overcome it. While much of the attention for reducing physician burnout has been focused on getting away from patient care, also called escapism, this isn’t a realistic option for all doctors and it’s also not always the most effective option. A more sustainable approach is not getting away from patient care, but rather changing how we provide patient care. The focus of this episode is on shifting from a transactional model back to a relational model. A more personalized approach to patient care combined with a greater sense of accomplishment can help restore the joy and satisfaction in the profession of eye care.
Are you struggling to make specialty care a meaningful part of your practice? Maybe you’re trying to solve a medical problem when you should be trying to solve a marketing problem.
For many ODs, time is the biggest culprit when it comes to growing a specialty service. Doctors are trying to cram medical conversations into comp exams and failing to get the patient’s buy-in. In this episode with Bob Miglani, founder of Hoot, we explore some of the most common reasons for this and how Hoot provides a solution to these problems.
Find out more at Gethoot.com
In this podcast, Nathan Hayes, IDOC’s Director of Financial Services, highlights the essential factors involved in determining the value of a practice, including revenue, profitability, market conditions, and competition. The role of financial statements and historical performance metrics, such as EBITDA, is emphasized as critical tools in the valuation process.
The conversation also explores the challenge of quantifying intangible assets like goodwill, reputation, and relationships, shedding light on their impact on a practice's overall value. The interview addresses whether formal valuations are necessary for all practices and how the presence of private equity has transformed the landscape of healthcare practice valuation and acquisition.
Our discussion uncovers common mistakes and misconceptions held by practice owners about business valuation, helping them navigate the process more effectively. For potential sellers with exit plans, valuable insights are shared regarding benchmarks and strategies to boost their practice's value. Likewise, potential buyers receive guidance on avoiding overpayment, ensuring informed decisions when considering acquisitions.
In this enlightening podcast episode with Dr. Carmen Simon, the renowned author of "Impossible to Ignore: Creating Memorable Content to Influence Decisions," we delve into the fascinating world of memory and message retention.
Would it surprise you to know that people typically only remember about 10% of the messages they encounter, and most of this information is forgotten within the first 24 hours? Memory challenge not only affects what people remember, but also what they act on.
As healthcare professionals, what if you could take charge of what patients remember and wield the power to shape their choices? Dr. Simon unveils the keys to controlling that pivotal 10% of information people retain. Without deliberate efforts, what sticks in their memory tends to be random and unpredictable.
In this episode, Dr. Simon walks us through concepts such as deliberate messaging, cognitive ease, and pattern recognition. Understanding these concepts helps you better position your messaging to be remembered and acted upon.
This podcast episode promises to reshape your approach to patient care by tapping into the enigmatic world of memory. Are you ready to become an unforgettable force in the eyes of your patients? Tune in to find out.
When physicians contemplate HIPAA compliance and the safeguarding of patients' protected health information (PHI), their primary focus typically centers on internal aspects. Questions such as, "Do our practice's written policies align with HIPAA requirements? Have we adequately trained our employees on HIPAA regulations? Is our computer infrastructure and software adequately secure?" often dominate their concerns. However, one crucial aspect that often goes unaddressed is whether the vendors who have access to our patients' PHI are also diligently taking steps to ensure the protection of this sensitive information.
In this episode, we engage in a discussion with Christine Schneider, Vice President of Operations, and Jon Kettner, who oversees HIPAA compliance at RevCycle Partners. They provide insights into the comprehensive process RevCycle Partners follows to achieve HIPAA compliance and offer guidance on the essential inquiries you should be making of your vendors to fortify your defenses against potential data breaches.
In this episode with Colin Carr, founder of Carr Realty, we explore the intricacies of securing an optimal space for your practice. Our conversation begins by highlighting the significance of leaving room for growth over the coming years. To gain a tangible grasp of spatial dimensions, Colin recommends using tape to visualize and assess potential layouts.
Delving into the realm of property procurement, our discussion underscores the advantages of collaborating with contractors attuned to the unique needs of optometrists. Colin advocates a structured three-step evaluation approach: analyzing your options comprehensively, assessing location compatibility, and then delving into the financial aspects.
This episode places a spotlight on the importance of enlisting a seasoned broker. Recognizing that negotiations can often be skewed in favor of landlords, a skilled intermediary adds essential expertise to your side.
Colin’s insights also touch on a key negotiation pitfall: prematurely indicating an unwillingness to consider alternate locations. This inadvertently shifts the balance of power to the other party. Emphasizing strategic negotiation tactics, he endorses meticulous research as a potent strategy. Creating a sense of uncertainty can potentially strengthen your bargaining position.
Finally, Colin demystifies costs by clarifying that commissions are typically covered by the seller, thus incurring no direct expenses for the buyer. From making informed decisions about space to navigating negotiations, this episode equips you with versatile knowledge to approach real estate endeavors with confidence and strategic finesse.
In this episode with Ankit Patel, founder of My Business Care Team, we delve into a transformative approach that Ankit implemented in his practice. By leveraging a remote workforce in the Philippines, Ankit's practice achieved remarkable results. Most notably a 33% increase in revenue per patient and a 28% reduction in payroll.
Previously, distractions and administrative tasks limited the support on-site employees could provide. However, by delegating calls and administrative responsibilities to remote staff, valuable time was freed up. This additional time spent with patients translated into a noteworthy increase in average revenue per patient. Interestingly, this shift in staffing also opened doors to a more skilled and diverse pool of candidates due to the ability to pay above market rates.
Ankit operates a Business Processing Outsourcing service, which provides comprehensive oversight for the remote workforce. This approach differs from employing Virtual Assistants, where the practice takes on the responsibility of training, managing, and supervising the VA.
Ankit's experience serves as a valuable example of how reimagining staffing strategies can lead to substantial enhancements in both patient care and financial outcomes.
In this episode with Dr. Kerry Giedd, we uncover a wealth of actionable tips to enhance your practice's success in boosting the sale of daily disposable contact lenses.
Dr. Giedd stresses the importance of keeping your patients informed about the latest advancements and unique features in the world of daily disposable contact lenses. Did you know that a staggering 70% of patients express a strong desire for their optometrists to offer new technology? Stay ahead of the curve by embracing innovation and sharing these exciting developments with your patients.
Being easy to do business with is a crucial aspect of driving sales. Our conversation delves into practical ways to streamline your practice's operations, ensuring you have ample time to educate patients thoroughly about the various contact lens options, particularly the convenience and benefits of daily disposables.
Simplifying the process of ordering and purchasing contact lenses is a game-changer. Learn how to create a seamless experience for your patients, removing any obstacles that might hinder their decision to opt for daily disposables.
Trust is the cornerstone of patient relationships. Discover strategies to build a strong foundation of trust, ensuring that your recommendations hold weight in your patients' eyes. This trust, in turn, translates into increased sales of daily disposable contact lenses.
Our episode unveils an intriguing perspective to enhance annual supply sales. Rather than asking patients how many boxes they wish to purchase, consider operating under the assumption that they'll be ordering a year's supply. Dr. Giedd provides valuable insights on implementing this approach effectively.
Join us in this dynamic episode as we equip you with a toolkit of strategies to skyrocket your sales of daily disposable contact lenses.
In this episode with Dr. Kristina Pusz, we delve into the transformative impact of scheduling more staff meetings. While many practices struggle to carve out adequate time for meetings, Dr. Pusz schedules 1.5 hour leadership meetings and 1 hour departmental meetings every week! We discuss the impact this has had on critical areas such as staff turnover and communication challenges. Dr. Pusz shares personal insights on transitioning from a boss to a leader, fostering trust among team members, and why accountability and feedback play pivotal roles. Discover how tracking key performance indicators (KPIs) can boost revenue and overall practice culture. The podcast unveils the positive outcomes: improved work-life balance, a more cohesive team, and a thriving optometry practice.
In this episode with Lynn Lawrence, we delve into the art of handling challenging patients with grace and professionalism. Discover effective techniques to meet negativity with positivity, swiftly uncover the underlying issues, and maintain control in the face of difficult encounters. Learn how to train your staff in conflict resolution using real-life situations, and shift towards a preventative approach that emphasizes proactive training. Explore the importance of effective communication to avoid misunderstandings with patients, empowering your team to uphold a standard of unwavering professional behavior. Tune in to gain valuable insights and strategies for navigating challenging patient interactions.
What would it take to open a practice cold and within 5 years achieve a level of financial success that many practices never reach… becoming a multi-million-dollar practice?
In this episode, Dr. Joel Tuite takes us through his 5-year journey, year-by-year. Some of the topics we cover are how he attracted patients in the lean years, the importance of putting staff first and treating patients like family, and how having a vision of success keeps you motivated and optimistic even during challenging times. According to Dr. Tuite, “If you can envision it, it will happen.”
Digital eye strain, while frustrating for your patients, presents a tremendous opportunity for your practice. In the past, contact lenses often had less than stellar outcomes for patients experiencing eyestrain on digital devices. Many of these patients ultimately dropped out of contact lenses. This was not good for the patient or the practice.
Advancements in contact lens technology have created a new option that’s getting raving reviews from both patients and doctors. Patients love the visual comfort and symptomatic relief the lens provides, and doctors love the ease of fitting (98 percent of patients found their final lens with 2 pairs of lenses or less). In this episode with Dr. Michele Andrews, we discuss a lens with potential to create a lot of happy patients (and doctors): MyDay Energys.
Is it possible to set up your optical so most of the selling is done for you without having to speak to the patient? Where you get the patient 80% of the way there and then you close the last 20%
When the patient walks into your optical, there are a lot of factors that can encourage or discourage a sale. Many of these operate on a subconscious level. Things like the number of decisions the consumer is forced to make, where frames are placed relative to eye level, and even the cleanliness of the frames can impact sales.
In this episode with Susan Daly, Director of Optical Strategy and Development for IDOC, we cover 10 tips for boosting sales and several of these tips challenge conventional thinking.
When people search for an eye doctor (or related service) in your area, are you the one who shows up? If not, you’re losing patients and money!
While word-of-mouth marketing may still be king for many practices, online marketing is not far behind. In this episode with Wayne Street, SEO Manager at IDOC, we discuss the most effective online marketing strategies, how to position your website and content to rank high when people in your area search for eye care services, and reasons your marketing is not working (wasting money).
For those who lack the time or expertise to manage their own marketing successfully (probably most of you), Wayne also discusses how IDOC can do it for you. As Wayne states, “It’s easy to do, but involves a lot of work!”
One of the most important responsibilities of private practice ownership, and perhaps one of the most neglected, is staff training. Some of the most common reasons for inadequate training are lack of time, poor training systems, and poor follow-up.
Kayla Ashlee has built a wonderful training platform at Bespexy.com. In this episode, we take a deep dive into some of the most common mistakes with staff training, the role of leadership in executing a training program, building a training structure, and how to continue developing employees beyond the onboarding stage. If your practice struggles with staff training, this episode is a must-listen!
Click here to access Kayla’s New Hire Training Checklist
Do you aspire to spend less time seeing patients are more time developing your practice? If you’re not developing and growing your practice, then who is?
Early in his career, Dr. Larry Golson was somewhat dismissive of the term “leadership,” but came to realize how important it was to the growth of his practice. To be a better leader, he needed to get out of the exam room!
Dr. Golson adopted an entrepreneurial operating system called Traction, which allowed him to create a practice with more clarity, greater organization, increased accountability and sustained growth. He now teaches this system to other ODs.
For years we’ve been hearing, “It’s hard to find good employees.” Over the past few years that’s become, “It’s hard to find ANY employees!”
A few years ago, virtual assistants in eye care were unheard of. Today many practices are testing the waters with this concept. Dr. Adam Ramsey is one of those innovative ODs. In this episode, he shares his experience working with a virtual assistant. He discusses how he uses the assistant, his approach to training a virtual staff member, the reaction from both staff and patients, and much more! If you’re on the fence about virtual staff, this episode may convince you to give it a try!
You may be a doctor who treats dry eye, but are you THE DOCTOR in your area who treats dry eye? In this episode with Dr. Janelle Davison, we discuss how to build a brand around dry eye and the many opportunities this can create for both the patient and the practice. When patients have dry eye, are YOU the one they think of for help?
In this interview, we tackle many of the questions you may have about building your own brand. How should I market myself? Should I focus on my current patient database or external patients? What equipment should I start with? How do I present prices to the patient? Tune in to learn how Dr. Davison built her dry eye brand, grew this specialty, and became THE DOCTOR in her area.
“You can make drama or you can make money, but you can’t make both. The thing that Zig (Ziglar) always said about building a team is that “together everyone achieves more”. I have found in my 25 plus years of consulting that this is the magic wand to creating a multi-million dollar practice. The team is everything.”
The above is directly off of Sharon Carter’s website. In this episode, we tackle the topic of team building and the impact this has on your practice. If you aspire to be a better leader and build a team that takes your practice to the next level, this episode will not disappoint! We cover how to get the right people on board, the importance of empowering people, becoming a more effective communicator, culture building, embracing failure, and much more!
Every eyecare practitioner wants what’s best for the patient in the chair. So, why do we sometimes stop short of providing the best care? In this episode with Dr. Selina McGee and Zac Denning of Science Based Health, we explore the role of nutrition and nutritional supplements in the care of patients, and address some of the most common reasons ODs struggle to make this a more meaningful part of their practice.
Perhaps the reason is that you’re not comfortable “selling” products in the office, or you lack the time to discuss these options with patients, or you struggle getting your staff to embrace their role in communicating this treatment option to patients. All of that and more is addressed in this interview. A lot of the ideas presented are not just applicable to supplements, but any area of your practice that you desire to grow.
How do you define success? Would your definition of business success and personal success conflict with each other? Sometimes it feels like they are aligned when they are not. Business success often requires long hours and hefty sacrifices that come at the expense of family and personal joy. In optometry school, did you set a personal goal to spend less time with your kids, take fewer vacations, and watch a savings account grow with money you didn’t get to enjoy?
In this episode with Adam Cmejla, we take a look at this topic and discuss how important it is to work to live, not live to work. Even if you love your job, your practice can and should be in service of not only your business goals but also your personal goals. From a financial planning standpoint, how can you set yourself up for success on both fronts?
In this episode I sit down with Dr, Candace Hoff to talk about something she’s doing that a lot of ODs ask about, but very few successfully execute. That “something” is an in-house discount plan.
In Dr. Hoff’s case, this allowed her practice to drop a few vision plans while retaining a healthy percentage of those patients. The feedback from patients has been mostly positive, and the feedback from staff has been even better. The success of this discount plan has Dr. Hoff targeting additional plans to drop.
Take a listen to learn how she did it, how she communicated this option to patients, and much more!
“Leadership is not about title or positions, it is about one life influencing another.” These are the words of world-renowned leadership expert John Maxwell. In this episode, I had the opportunity to interview Chris Goede, Vice President of Client Success for The John Maxwell Company. Chris is one of our keynote speakers for our upcoming national convention, The Connection, in Orlando on February 16 -19. In this episode, Chris takes us through the foundational principles from John Maxwell’s best-seller, The 5 Levels of Leadership.
As you’re listening, try to determine what level you are currently at, and what needs to change to advance to the next level. Don’t get stuck at a low level! Developing and growing your leadership attributes will pay huge dividends in managing your team and growing a successful practice.
Patient education and effective communication are not the same thing. Patient education only guarantees people will hear what you say. Effective communication increases the odds people will do what you say. So, how do we become better communicators?
Fortunately, we don’t have to guess at that, we just have to make some small but powerful changes in how we communicate with patients. There is a mountain of research demonstrating how to be more effective and influential when communicating with others, and this can be easily applied to patient care. In this podcast, I present some of these concepts and share an audio lesson from a course I created designed to help doctors become more effective communicators. If you’re an IDOC member, email me at svargo@idoc.net for a link to download the entire course for free.
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Have you set annual goals for your practice in the past that required you and your staff to perform or produce at a higher level to reach the goal? Did you succeed, or did you find yourself coming up short at the end of the year?
There are many flaws and weaknesses in traditional goal setting, this is especially prevalent with annual goals and bonuses. Leaning on research in workplace behavior, I discuss 3 common reasons practices fail to reach their annual goals, and how to devise a system that increases your chances of success.
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What should I look for in a resume? How do I prepare for an interview? What questions should I ask? These are good questions to answer, but many employers just “wing it” when it comes to interviewing job candidates. There is an art to asking the right questions, knowing what to listen for, and identifying the right qualities in a candidate that will not only increase your odds of finding the ideal candidate but also avoid the hassles and headaches of hiring the wrong person.
Employers must also consider that the job candidate is interviewing them! They want some assurance before accepting the position that this will be a great fit for them. The job interview can serve to showcase your office culture, a defining factor in candidate’s choosing your practice over another.
There are times when an OD feels it’s in the best interest of a patient to modify their contact lenses. This often involves making a change, such as changing the brand or modality. This can be a challenge with a patient who is not experiencing any problems with their habitual contact lenses. It can be even more challenging when the lenses you’re prescribing will cost the patient more money than their current lenses.
In this episode, Dr. Moscow shares his strategies for presenting daily disposable, handling objections, and getting the patient’s “buy-in.” These strategies have led to 80% of his contact lens patients being fit with daily disposables!
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Let’s dig into a topic many ODs lack knowledge and expertise about… optical and inventory management. They didn’t teach us that in school!
Dr. Neil Patel is a young OD who purchased a practice one year ago. His first thought was “How hard can this be?” Not long after he confided to an IDOC Optical Consultant, “I have no idea what I’m doing!” That self-realization led to his quest to work with our Inventory Management team and learn more about how to successfully manage his optical and inventory. In this interview, Dr. Patel shares what he’s learned over the past year and how the IDOC Inventory Management service has allowed him to run a successful optical with fewer demands on him and his staff.
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Change in the eyecare industry is nothing new, but the past few years have seen more change than normal. Having a solid understanding of your practice financials is important to help you navigate changes and strategize for the road ahead.
IDOC’s Associate Director of Financial Services, Nathan Hayes, shines a light on what metrics are most important and how to use those metrics in your business planning and decision-making. We also discuss IDOC’s Books and Benchmarks service that takes the burden of bookkeeping off your plate… and makes sure it’s done right!
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Dr. Kris May operates his practices in a region with some of the lowest per capita family income in the country. This isn’t the typical market that comes to mind when we think success with daily disposables, and yet Dr. May’s current daily rate is 55 percent.
There was a time when Dr. May prescribed mostly 2-week disposables and felt that dailies were not an option with his patient base, until he did some research on patient compliance, safety, and practice profitability. This caused him to take another look at dailies and make some big changes. Dr. May shares his best practices and lessons learned in this interview.
Does your career feel stagnant? Have you lost your excitement for practicing optometry? If you fall into that category, that may be hard to admit, but you’re not alone. In fact, it’s very common for ODs to feel “burned out” from the routine of seeing patients. The good news is… you don’t have to be confined to a small dark room if you don’t want to. A lot of opportunities exist for ODs to pursue alternative career paths if they aspire to.
In this episode I talk to Dr. Joel Hayden. His story involves specialty services, a YouTube channel, teaching a course, mentoring potential optometry students, and even a foray into the world of acting. This is Joel’s story. You can write your own, and I hope this interview inspires some people feeling “stuck” to get out of their comfort zone and pursue the unconventional path.
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Like many specialty services, a lot of ODs “dabble” but fail to make a service like Dry Eye a meaningful part of their practice. From a clinical and financial standpoint, dry eye has tremendous potential, but a lot of ODs are standing on the sidelines while doctors like Dr. Cohen are going all in and reaping the benefits!
It takes time, effort and money to get where Dr. Cohen is, but the important thing is just to get started. In this episode, we hit the fundamentals of launching a dry eye specialty. Stop dabbling and start building.
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In this episode we talk with Dr. Michelle Johnston, author of The Seismic Shift in Leadership, about being a more effective leader. Leadership in the workplace has moved beyond the “command and control” style… or has it? Many leaders are still deploying outdated methods of leading their teams. In a time where employees appear disengaged, turnover is high, and practice revenues are stagnant, it’s worth looking in the mirror and asking, “Am I the problem?”
This interview may challenge many of the ideas you have about leadership, but if you’re willing to make some changes, the rewards for both you and your team could be astounding.
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Leadership
Employee engagement
Effective leadership
Human connection
Benchmarking is a term used in business to reference the study of other companies or businesses to compare with your own. Through this process, many companies will (wisely) adopt best practices of other companies.
Disney is one such company that has been widely studied by numerous other companies across a wide spectrum of industries. In this episode, Dr. Vargo talks with Dr. Jennifer Stewart about her fascination with Disney and how she’s integrated many of their business strategies into her practice.
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Disney
Disney experience
Customer service
Patient experience
Patient journey
In this episode, Dr. Vargo reached out to IDOC’s own Managed Care Consultant, Jenna Armitage, to discuss an issue we’re hearing from many ODs – getting denied access to insurance panels. This has been a longstanding issue with a few vision plans, but we’re now hearing this more frequently for medical plans also.
While we’re seeing a trend with many practices dropping insurance plans, that’s not practical for every practice and the majority of optometry practices still depend on access to patients provided by insurance companies. In this podcast, we’ll walk you through the process and offer valuable insights into what to do when you’re denied access to an insurance panel.
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Insurance
Insurance credentialing
Insurance denial
Insurance panel
In this episode, Dr. Vargo explores the world of employee benefits with Cory Friedman, Senior VP of Benefits Consulting with the Alera Group. They cover how to get started, how to choose what benefits to offer, how small businesses can get creative with benefits to stay competitive with larger employers, and how to manage all of it without losing your mind!
In this job market, employers have to be competitive with salary and benefits to acquire and retain good talent. Cory’s background working with small businesses gives him a unique perspective and he does a great job laying out the options in this interview.
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Employee benefits
Job benefits
Employee acquisition
Employee retention
In this episode, Dr. Vargo sits down with IDOC CEO Dave Brown to discuss something on everyone’s mind – the economy! For business owners, scary words like inflation and recession might be keeping you up at night. You’re probably feeling the pressure from things like rising wages and higher cost of goods, not to mention the fear and uncertainties that come from not knowing what the future holds.
In this podcast, they discuss the good, the bad and the ugly. Fortunately, it’s not all bad and ugly. Neither Dave nor Steve have a crystal ball, but they do their best to share some insights and recommendations based on historical data and trends from previous economic downturns.
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Inflation
Recession
Economy
Economic downturn
Marketing is critical to the growth of any business, but HOW to spend those marketing dollars is a decision many practice owners grapple with. Host, Dr. Steve Vargo sits down with Dr. Matt Taylor to discuss his approach to digital marketing, print marketing, and community involvement. If you want to delegate your marketing, let IDOC help https://idoc.net/productsandservicesmarketing.
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Relevant Articles:
Professional Burn Out: https://idoc.net/blog/887/the-antidote-to-professional-burnout
SEO:https://idoc.net/blog/891/the-importance-of-local-visibility
https://idoc.net/blog/884/what-is-seo-and-why-does-it-matter
Marketing
Digital marketing
Word of mouth marketing
Advertising
Google reviews
Online reviews
Let’s talk MONEY! Specifically, regarding mistakes made by practice owners who handle their own bookkeeping. Host, Dr. Steven Vargo sits down with Hayley Stewart, IDOC’s Financial Services manager to discuss what owners can do to keep their books accurate.
If you want to make sound financial decisions for your practice, you have to have accurate books, our expert says that 80% of the books she takes over has at least 1 of the 5 financial blunders we discuss in this episode.
For more information on outsourcing your bookkeeping, visit https://idoc.net/booksandbenchmarks
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LinkedIn https://www.linkedin.com/company/idoc
Interested in an optometry specialty? Join our community FB group https://www.facebook.com/groups/idocspecialty
Relevant Articles:
Professional Burn Out: https://idoc.net/blog/887/the-antidote-to-professional-burnout
Practice Management
Bookkeeping
Optometry Bookkeeping
QuickBooks Mistakes
DIY Bookkeeping
Financial Health
Build an optometry practice and life you love! Eye Own a Business teaches independent ODs how to grow a thriving practice while wearing the hats of both a doctor and a business owner. Tune in as Dr. Steve Vargo and his guests guide you with the tools and strategies you need to build the practice of your dreams, one step at a time. Eye Own a Business is brought to you by IDOC. Learn more at IDOC.net