Want to own a 4.2 ★ based on 65+ Yelp/Google reviews, long-established private optometry practice in San Francisco with stable collections, a loyal patient base, boutique optical positioning, and clear growth upside? This established full-scope optometry practice has generated approximately $636K–$704K in annual gross collections from 2023–2025, with estimated normalized owner benefit / SDE of approximately $215K–$225K.
This practice was established in 1995 and has been in its current location for approximately 5 years. It benefits from a desirable, affluent neighborhood setting, strong walkability, heavy foot traffic, and a longstanding multi-decade reputation. The practice serves approximately 4,257 active patients seen in the last two years and produces approximately 2,200 annual patient visits with approximately 300 new patients per year. The practice is typically booked approximately 2–4 weeks out, supported by recall systems and a loyal referral-driven patient base.
The office is a full-scope boutique private optometry practice with optical, offering comprehensive primary care, medical eye care, LASIK/PRK/cataract co-management, specialty contact lenses, contact lens services, dry eye and ocular surface care, and optical sales. The practice participates with VSP on the vision side and Medicare on the medical side, creating a simplified payer structure with meaningful opportunity to expand medical billing and insurance participation if desired.
The practice currently operates Tuesday through Saturday, with Tuesday and Friday hours from approximately 10:00 AM–5:00 PM, Wednesday and Thursday from approximately 10:00 AM–6:00 PM, and Saturday by appointment, generally 10:00 AM–2:00 PM. The owner OD currently works approximately 3.5–4 clinical days per week plus administrative time, and there are currently no associate ODs. The seller is retiring and is willing to stay on for either 1–2 clinical days per week or consultation support for up to approximately 6 months to assist with transition.
The practice includes 2 potential exam lanes with 1 fully equipped lane, with a functional clinical equipment package including Reichert XCEL 700 slit lamp, Topcon ACP-7R projector, Topcon VT-10 phoropter, Topcon KR-8000PA autorefractor/keratometer/pachymeter, Topcon NW400 fundus camera with software, Marco and OptiSource lensometers, Olleyes VR visual field headset, Santinelli 5500 edger/blocker & more. Estimated total equipment value is approximately $48K–$67K, supporting a turnkey transition and continuity of care. EHR = CompuLink.
The optical is a major strength of the practice, with approximately $180,684 in frame inventory at cost and approximately $491,615 in frame inventory at retail, along with a high-end boutique eyewear focus. The office has a modern, patient-facing optical environment designed for premium frame presentation and quality eyewear sales.
The staffing model is experienced and lean, with 2 full-time staff and 1 part-time staff. Key roles include a long-tenured office manager, optician/co-manager, and part-time receptionist support. The optician/co-manager has a highly retained patient base and is expected to continue, while the owner and office manager are expected to retire as part of the transition.
The practice operates from an approximately 1,298 sq. ft. facility with current monthly rent of approximately $5,065, increasing to approximately $5,217 beginning August 1, 2026. The lease includes two additional 5-year options through July 31, 2036, and assignment is permitted subject to landlord consent, creating strong long-term occupancy stability for a buyer. The space was fully built out in 2021 with approximately $450K–$480K in improvements, including custom cabinetry, LVP flooring, accent lighting, storefront security gates, front door security gate, kitchen, storage areas, ADA-compliant patient restroom, private owner/staff restroom, and upstairs loft space for office or storage.
Growth opportunities include adding associate OD coverage, increasing doctor hours, utilizing the second exam lane, expanding medical eye care, increasing specialty contact lens services, building dry eye and ocular surface care services, improving digital marketing, expanding insurance participation, increasing medical billing, optimizing recall conversion, and further leveraging the premium optical and boutique frame inventory. The current owner-doctor schedule is approximately 24–28 clinical hours per week, creating meaningful upside for a buyer who wants to increase provider availability.
With stable collections, a strong online reputation based on 65+ Yelp/Google reviews, a large loyal patient base, high-end frame inventory, a modern 2021 buildout, long-term assignable lease structure, boutique optical positioning, and meaningful expansion upside through additional doctor coverage and clinical service growth, this is an attractive acquisition opportunity for a buyer seeking an established Northern California optometry platform with immediate cash flow and long-term organic growth potential.
100% Bank Financing Available for qualified buyers through conventional lenders.
For more information, including a comprehensive practice appraisal report and detailed financial package, please complete our Buyer Registration Form and Confidentiality Agreement.
