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A Look at Optometry Salaries in 2026 with Calculator

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11 min read

Optometrist salaries vary widely depending on state, setting, experience, and even gender. Use this calculator and the information from our most recent surveys to learn more about the factors influencing how much you make, and see where your salary ranks.

The Eyes On Eyecare Optometrist Salary Calculator uses data from surveys conducted in 2025, along with supplemental data to provide accuracy. This data will be continuously updated as new information is collected and published.

To use this tool, first identify the filters you wish to use:

  • US state
  • Years of experience
  • Practice setting

Then, identify the pay period to display averages by hourly wage, per diem, or annual salary. The calculator automatically displays the average annual salary, along with the median, and mode, of all optometrists in the whole US within this data set.

In the latest rankings by US News, the optometric profession earned the #20 spot for best health care jobs, which is an impressive distinction that reflects its meaningful impact and quality of life.1 However, when choosing a career path, earning potential is a key consideration in the pursuit of purpose and financial stability.

Factors that influence optometrist salaries

Before we delve into current salaries, let’s take a look at the components that influence those numbers. Although salaries range from the lowest 10% to the top 10% earners, several factors come into play in determining an optometrist’s salary, such as ownership and equity exposure, practice settings, specialties, and location.

Ownership and equity exposure

Interested in owning your own practice? According to a 2023 survey conducted by Review of Optometry, the highest earners in the profession tend to share two key characteristics: self-employment and seniority. Self-employed optometrists working in partnership or group private practices reported an average net income of $255,008.2
However, it is important to note that earnings can vary depending on production and practice performance. While practice ownership can significantly increase earning potential, it also comes with additional responsibilities and challenges, including balancing patient care with the demands of business management.3

Private practices

Where you choose to practice can play a major role in how much you earn. According to the most recent data from the US Bureau of Labor Statistics, optometrists working in outpatient care centers, such as hospitals, report the highest median annual salary at $196,800.4 Those working in physicians’ offices earn a median salary of $145,600, while optometrists in optometry offices report a median annual wage of $127,980.
The Eyes On Eyecare 2022 survey found a similar trend across private practice settings. The highest median salaries were reported in MD/OD multidisciplinary practices ($155,306), followed by hospitals and health maintenance organizations (HMOs; $152,558), and corporate practices ($140,017). At the other end of the spectrum, academic and research-based private practices reported the lowest median salary at $104,900.5
These differences highlight an important point: the type of practice setting you choose can significantly influence your earning potential as an optometrist.
Table 1: Optometrist salary by practice setting based on a 2025 Eyes On Eyecare survey.
Practice SettingMean Salary
MD/OD Multidisciplinary$145,000
Hospital & HMOs $148,000
Corporate$135,000
Private Practice$130,000
VA & Military$125,000
Academic/Research$106,500

Specialties

Can your optometric specialty influence how much you earn? The short answer is yes. While comprehensive statewide data is limited, specialty training can significantly boost earning potential.
According to a survey highlighted in a blog by Outpost, New York City optometrists specializing in low vision rehabilitation report some of the highest earnings, with salaries 20 to 30% above the base salary.6 Close behind are specialists in pediatric optometry and vision therapy, who earn approximately 15 to 25% above the average salary.
These findings suggest that developing expertise in a specialized area of optometry may not only expand the scope of care you provide but can also lead to meaningful financial rewards.

Location

Where you practice can make a surprisingly big difference in how much you earn as an optometrist. 
According to our recent survey, the states with the highest mean optometrist salaries were Wisconsin ($250,800), Connecticut ($185,100), and Alabama ($180,600)—excluding states with smaller sample sizes. What do these states have in common? A combination of strong demand for eyecare providers, particularly in underserved communities, and a relatively lower cost of living compared with many major metropolitan areas.7
Location also plays a role in optometric residency salaries. For example, many residencies in the southwestern United States offer higher compensation. One major reason is the presence of Indian Health Service (IHS) facilities. These hospitals serve American Indian and Alaska Native populations and are known for offering some of the highest-paid optometry residencies.8
Residency salaries at IHS sites follow the Indian Health Service Title 38 pay scale (GS-11, Step 1), which is currently $104,219 and is adjusted annually.8 Unfortunately, these communities often experience a higher prevalence of ocular disease, which increases the demand for skilled eyecare providers and medical services.9 This need contributes to the higher compensation offered in these regions.
The takeaway? If maximizing your earning potential is a priority, it’s worth thinking strategically about where you choose to train and practice. The right location can make a meaningful difference to both opportunities and salaries.

If you’re currently looking for your first optometry position after graduation, click here to book a time with one of our recruiters to discuss your job search and goals.

Current state of optometry pay in 2026

In 2024, the median annual salary for optometrists in the United States was $134,830, or $64.82 per hour, according to the US Bureau of Labor Statistics.4 Earnings in the profession vary widely, with the top 10% of optometrists earning more than $203,210 annually, while the lowest 10% earned less than $70,060.
However, findings from our most recent survey, as of 2026, indicate that the median optometrist salary is approximately $160,700, suggesting that compensation in the field continues to trend upwards.
Table 2: List of the 10 states with the highest optometrist salaries.
StateMean Salary
Wisconsin$250,800
Connecticut$185,100
Alabama$180,600
North Carolina$178,300
Nevada$176,600
Indiana$168,400
Michigan$167,600
Minnesota$165,200
Kansas$162,200
New Jersey$162,100

How much do optometrists make in each of the 50 states?

Table 3: Average optometrist salary by state.
StateMean SalaryRank
Alabama$180,6007
Alaska*$145,30035
Arizona$147,70031
Arkansas*$146,70032
California$142,00039
Colorado$157,20022
Connecticut$185,1005
Delaware*$146,00033
District of Columbia--
Florida$150,70025
Georgia$140,30041
Hawaii$138,70042
Idaho*$173,40011
Illinois$148,90029
Indiana$168,40012
Iowa*$123,80048
Kansas$162,20016
Kentucky$144,50036
Louisiana*$210,0004
Maine*$131,60046
Maryland$138,50043
Massachusetts $148,60030
Michigan$167,60013
Minnesota$165,20015
Mississippi*$112,80049
Missouri$155,00023
Montana*$184,4006
Nebraska$142,80037
Nevada$176,6009
New Hampshire*$166,60014
New Jersey$162,10017
New Mexico*$247,0003
New York$159,00020
North Carolina$178,3008
North Dakota*$175,00010
Ohio$142,10038
Oklahoma*$127,70047
Oregon$140,60040
Pennsylvania$149,80027
Rhode Island*$151,60024
South Carolina$145,60034
South Dakota*$300,0001
Tennessee$133,00045
Texas$149,10028
Utah*$158,60021
Vermont*$133,80044
Virginia$159,90019
Washington$160,90018
West Virginia*$150,00026
Wisconsin$250,8002
Wyoming*--
*These results are based on a small sample size (10 salaries or less). Small sample sizes can sometimes lead to inaccurate averages.

How gender affects optometry pay in 2026

Over the past two decades, optometry has seen a remarkable shift in its student demographics. The ratio of female to male students entering optometry schools has steadily increased, bringing the profession closer than ever to gender parity. Today, the optometry workforce is approaching a 1:1 female-to-male ratio—a major milestone for the field.10,11
But an important question remains: has pay equity kept pace with this progress? Recent data suggest the answer may be more complicated. Based on 2023 data from the US Census Bureau, women working full-time, year-round across professions earn about 83% of what men earn.12 A survey by Review of Optometry found a similar pattern within the profession itself: female optometrists reported lower average earnings than male optometrists across all experience levels.2
These findings highlight an important reality. Even as the profession moves closer to equal representation, differences in compensation may still persist, raising important conversations about equity, opportunity, and transparency in the evolving optometric workforce.

Do race and ethnicity affect compensation?

The optometric workforce remains predominantly composed of White practitioners, who make up 73% of the field, followed by Asians at 17%, Hispanics at 4 to 5%, with other minority groups representing the remainder.11
Despite this racial disparity, it is still unclear whether race and ethnicity impact compensation within optometry. Unfortunately, no current studies have specifically analyzed earnings differences among racial groups in optometry.

Focus forward: OD salaries beyond 2026

The future of optometry looks bright. Recent data suggest that both salary potential and job opportunities in the profession are on an upward trajectory. According to a survey by Review of Optometry, the average optometrist's income steadily increased from 2016 to 2023, reflecting consistent growth in earning potential.2 The only notable dip occurred between 2020 and 2022, largely due to the disruptions caused by the COVID-19 pandemic. Since then, the trend has returned to a positive upward direction.
Beyond salary, the overall demand for optometrists is expected to grow. Current projections estimate an 8% increase in employment from 2024 to 2034, which is significantly higher than the average growth rate of about 3% for all occupations.4
In other words, the outlook for optometry is not just stable, it’s growing! With rising demand for eyecare services and an aging population requiring more vision care, the profession is positioned to offer strong career prospects and increasing earning potential in the years ahead.

Strategies for increasing your salary

So, what can you do if your goal is to maximize your earning potential as an optometrist? While many factors influence salary, a few strategic decisions can make a meaningful difference.
First, location matters. Practicing in states with higher median salaries and a lower cost of living can significantly increase your overall financial return.
Second, consider developing a specialty. Fields such as low vision rehabilitation, pediatric optometry, or vision therapy often command higher compensation because they require advanced expertise and address specific patient needs.
Finally, many optometrists see strong financial benefits from practice ownership or partnership. Becoming a self-employed optometrist in a group or partnership practice can create opportunities for higher income, greater autonomy, and long-term financial growth.
In short, the path you choose can play a major role in shaping your future earnings in optometry: where you practice, what you specialize in, and whether you pursue ownership.

In closing

Looking ahead, the positive job outlook and steady growth of optometry suggest that future optometrists will continue to reap the benefits from increasing demand for vision and eyecare services.
For fellow optometrists and students looking to advance in the field, understanding the factors that influence compensation can help guide strategic career decisions and maximize both professional impact and financial success.

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  1. U.S. News & World Report. Optometrist. U.S. News Best Jobs. https://careers.usnews.com/best-jobs/optometrist
  2. Persico J. 2023 Income Trends: A Wealth of Experience. Review of Optometry. December 15, 2023. https://www.reviewofoptometry.com/article/2023-income-trends-a-wealth-of-experience.
  3. Strazewski L. Private Practice Doctors Can Make Changes to Cut Their Burnout. American Medical Association. October 10, 2022. https://www.ama-assn.org/practice-management/private-practices/private-practice-doctors-can-make-changes-cut-their-burnout.
  4. Geller M. Optometrist Salary Calculator. Eyes on Eyecare. January 7, 2022. https://eyesoneyecare.com/resources/optometrist-salary-calculator/.
  5. Optometrist Salary in NYC: What Eye Care Professionals Actually Earn in America’s Most Expensive City. Outpost. January 2, 2026. https://outpost.me/blog/optometrist-salary-nyc-what-eye-care-professionals-actually-earn-in-americas-most-expensive-city.
  6. The Primary Care Physician Shortage by State. Kyruus Health. April 18, 2024. https://kyruushealth.com/the-primary-care-physician-shortage-by-state.
  7. Cornwell K. IHS Optometry Residency Opportunities. Eyes on Eyecare. April 19, 2018. https://eyesoneyecare.com/resources/ihs-optometry-residency-opportunities/.
  8. 2025 Optometrist Nationwide Pay Table. U.S. Department of Health and Human Services, Indian Health Service. January 12, 2025. https://www.ihs.gov/sites/ohr/themes/responsive2017/display_objects/documents/paytables/2025/2025%20Optometrist%20Nationwide.pdf.
  9. U.S. Bureau of Labor Statistics. Optometrists: Occupational Outlook Handbook. U.S. Department of Labor. https://www.bls.gov/ooh/healthcare/optometrists.htm.
  10. Enrollment by Gender, Full-Time Doctor of Optometry Students by Year, 2007-2022. Association of Schools and Colleges of Optometry. May 2022. https://optometriceducation.org/wp-content/uploads/2022/05/Enrollment-Gender-.pdf.
  11. Offices of Optometrists (NAICS 621320) Profile. Data USA. https://datausa.io/profile/naics/offices-of-optometrists?redirect=true.
  12. U.S. Bureau of Labor Statistics. Women’s Earnings Were 83.6 Percent of Men’s in 2023. U.S. Department of Labor. March 12, 2024. https://www.bls.gov/opub/ted/2024/womens-earnings-were-83-6-percent-of-mens-in-2023.htm.
Ryan Feng, OD/3
About Ryan Feng, OD/3

Ryan Feng is a third-year optometry student in the Accelerated Scholars Program at the Pennsylvania College of Optometry at Drexel University in Philadelphia. He completed his undergraduate studies in Chemistry at Hunter College, City University of New York.

His clinical interests include neuro-ophthalmic disease, anterior segment pathology, and contact lens. Ryan is particularly interested in how emerging technologies can improve diagnostic precision and expand accessibility to high-quality eye care. He will be completing his residency at Rochester Regional Health in Rochester, NY.

Ryan Feng, OD/3
Eyes On Eyecare Editorial Team
About Eyes On Eyecare Editorial Team

Led by Editor-in-Chief Eleanor Gold, PhD, Eyes On Eyecare is a digital publication that provides clinical and career education to the young generation of optometrists and ophthalmologists. We work with eyecare professionals to create compelling, educational content available for free to all those in the eyecare industry. To learn more about our team, values, and other projects, visit our About page.

Eyes On Eyecare Editorial Team