Insights From Our Editors

Practical Paths to More Revenue

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Four ODs detail practical paths to more revenue for their businesses

By Maggie Fernandez

Oct. 29, 2025

The end-of-year rush is almost here—or perhaps it’s already in full swing in your practice. Take a few minutes before the year is over to plan ahead. Step away from the daily routine to consider where the practice stands and where you are headed in 2026.

We’re always refreshing and building upon our collection of peer-to-peer advice on Review of Optometric Business. Find valuable information on the website to improve across all areas of the business.

As 2025 comes to close, here’s a closer look at four practical paths to more revenue in your business.

Breaking Through the Ceiling: Going from $1.5M to $2-$5M Practice

Jeff Klein, OD, of Norfolk, Nebraska, details the process of making this business transformation. He says it’s not just about patient volume. It also requires a shift in mindset and operations. One person—especially a doctor actively seeing patients—simply cannot manage everything. Learn about his plan, which included leadership changes, as well as the expansion of services and capabilities, to achieve this substantial practice growth. Read more.
Photo courtesy of Dr. Klein, pictured with his practice team. Dr. Klein says the team has been proactive about seeking practice growth opportunities.

Photo courtesy of Dr. Jeff Klein, pictured here with his practice partner and wife, and the practice associate.

Independent OD Survival: How I Got to $2,500-$3,000 Per Specialized Care Patient

Nishi Mehdiratta, OD, of Houston, Texas, increased her revenue per specialized care patient with some shifts in her practice approach. She shares how she changed the way she worked with staff and leaned into more cash pay procedures to give the business a boost. Read more.
Dr. Nishi Mehdiratta seen here with her practice team. Dr. Mehdiratta shares tips for independent optometry survival.

Photo courtesy of Dr. Nishi Mehdiratta, seen here with her practice team.

My Ortho-K Practice Doubled Its Patient Numbers in Just One Year: Here’s What Worked

Sabrina Gaan, OD, of Plainville, Massachusetts, has found success with her ortho-k practice. Her business flourished with this specialty area because it met a demand for this care in her area with a rising percentage of myopic children. From a small smart, she explains the road map that brought her to this point. Read more.
Dr. Sabrina Gaan image for bulletin

Photo courtesy of Dr. Sabrina Gaan

Weighing and Acting on the Decision to Hire an Associate

Adding an associate can be a factor in taking your practice to the next level, both financially and personally to achieve work-life balance. Ada Noh, OD, discusses how she brought on an associate in her practice. She walks through the decision-making process to help others evaluate if it’s the right choice, as well. Read more.
Dr. Ada Noh with her practice's new associate, Dr. Shelby Brogdon

Photo courtesy of Dr. Ada Noh, pictured here at left with her associate, Dr. Shelby Brogdon.

More Practical Advice On The Way

I’d also like to officially introduce myself as the new senior editor for Review of Optometric Business. I’ve enjoyed many conversations with business owners over the past 17 years working on other optometric publications. It’s always fascinating to learn about what drives their businesses. Their willingness to share with their colleagues and their passion for success is inspiring.

I am excited to work closely with our professional editor Laurie Sorrenson, OD, FAAO, as well as our senior associate editor Julia Natoli, to continue to bring these practical stories to you each week. In the rest of this year and as we enter 2026, we plan to continue to grow and evolve our platform, improving your Review of Optometric Business experience.

If you’ve found success from strategies shared here or have your own advice and guidance to give, we would love to hear from you!

We hope to remain your trusted resource as you navigate your optometric business.

Read other insights from our editors here.

Read more practice management articles on ROB here.

Maggie Fernandez is the senior editor of Review of Optometric Business and Independent Strong. She brings 17 years of optometric editorial experience to this role, previously focused on Women In Optometry as well as other custom publications. To contact her: mbiunno@jobson.com

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