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A free education platform for optometry practice owners. Every week we publish practical business and financial education: profitability, operations, team, exit strategy, and what AI changes for a private practice.
Dr. Dylan Reach. Optometrist, 21-year practice owner, 26 years in the same practice, multiple practice acquisitions and sales. He sold his primary practice to private equity in 2021 and now runs a private investment firm.
The newsletter and the content are free education. We also take on a limited number of AI implementation engagements each year. See AI for Your Practice for how those work.
We look at your practice's workflows, then build the systems that fit: recall reactivation, review generation, patient communication, staff training tools. Then we maintain them for you. We build it and we run it, so there's nothing for you to go learn.
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Start with the newsletter. If you want hands-on help, apply for an engagement on the AI for Your Practice page. We take a limited number per year.
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Both. The education applies to any independent practice, and implementation work is scoped to your size.
Frequently Asked Questions
You Became a Doctor.
Nobody Taught You to Run a Business.
You're good in the exam lane. Nobody taught you margins, or staffing, or what your practice is worth when somebody offers to buy it. I ran the same practice for 26 years and learned that part the expensive way. This is where I write it down.
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Practice Profitability
Margins, financial management, and the real economics of specialty services.
Chair-time economics
Specialty ROI (myopia, dry eye, vision therapy)
Financial management
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Operations & Team
Do more without adding headcount.
Systems and workflows
Leadership and staff training
Where AI fits in a private practice
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The Owner's Exit & Beyond
The conversation nobody has with you until it's too late.
What your practice is actually worth
Selling to private equity, from someone who did it
Building wealth outside the practice
STEP 1
Subscribe
Free. Two minutes. No pitch.
STEP 2
One Useful Idea a Week
Profitability, operations, and exit strategy, with the real numbers attached.
STEP 3
Build a Practice That Pays for the Life You Want
Better margins, fewer hours, and a business somebody would want to buy.
Your Path Is Simple
I've Sat in Your Chair, and Across the Table From the Buyer
Business Made Simple Certified Coach
I'm a Business Made Simple Certified Coach. The certificate matters less than what it trained me to do, which is explain business in plain language instead of consultant-speak.
26 Years in Practice. 21 as Owner. Multiple Exits.
I spent 26 years in the same practice, 21 of them as the owner. I bought practices and I sold practices, and in 2021 I sold my primary practice to private equity. Since then I've been on the buying side, running a private investment firm. Everything on this site comes out of that, including the parts I got wrong.
What You'll Learn
Busy Isn't the Same as Profitable
Working more hours is not a growth strategy
Every year without systems is margin left on the table
A practice that can't run without you is a practice you can't sell
Build a Practice That Pays You Back in Profit and in Time.
Most practice owners are excellent doctors running underperforming businesses, and they're working too many hours to do anything about it.
One useful idea every week
Profitability, operations, and exit strategy
What AI changes for a private practice
Subscribe to Newsletter
One email a week on the business side of optometry. Free, and you can leave whenever you want.