Free Gantt Chart Template for Optometry Practice Acquisition
Acquiring an optometry practice is a 6–12 month process involving clinical due diligence, financial analysis, licensure transfers, insurance credentialing, and patient retention planning — all happening simultaneously. A Gantt chart keeps the parallel workstreams organized and ensures nothing delays closing day.
Phase 1: Practice Search and Target Criteria (Months 1–2)
Define your acquisition criteria before engaging brokers or sending letters of interest. Key metrics for a well-run solo OD practice:
Patient base: 1,800–2,500 active patients (seen within 24 months) is typical for a full-time solo optometrist. Practices below 1,200 active patients carry higher revenue risk; above 3,000 may indicate a busy associate or the seller has been working excessive hours that won't transfer with the practice.
Revenue mix: Optical dispensary revenue should represent 40–50% of total practice revenue in a healthy full-scope OD practice. Practices where optical is \<30% of revenue are underperforming their dispensary. Practices where optical is \>60% may have limited medical eye care revenue — less stable if frame trends shift.
Equipment inventory: Age and condition of core equipment:
- Phoropter: functional lifespan 20+ years; ask about digital phoropter (Marco, Reichert) vs. manual
- Slit lamp: Haag-Streit BM 900 or Topcon SL-D4 are workhorses; check illumination and mechanics
- Autorefractor/keratometer: Topcon KR-800, Nidek ARK-1 — budget $5,000–12,000 to replace if aging
- OCT (optical coherence tomography): Zeiss Cirrus HD-OCT, Topcon Maestro2, Optovue iVue — an OCT adds $40,000–100,000 in equipment value and opens medical eye care billing for retinal and glaucoma monitoring
- Digital retinal camera: Optos ultra-widefield, Topcon TRC-NW400
Scope of practice by state: OD vs. OMD (ophthalmologist) scope varies. Confirm the seller OD's scope (therapeutic drug prescribing authority, laser authority in states that allow OD laser procedures) matches what you're licensed for.
Phase 2: Letter of Intent and Due Diligence (Months 2–4)
Submit a non-binding Letter of Intent (LOI) to lock in exclusivity (typically 60–90 days) and begin due diligence.
Financial due diligence:
- 3 years of P&L statements and tax returns — look for owner add-backs (personal expenses run through the practice) and normalize EBITDA
- Collections by payor: VSP, EyeMed, Davis Vision, Spectera, Medicaid, Medicare (optometry — Part B, not Part D), commercial plans, out-of-pocket/private pay. Payor mix affects post-acquisition revenue assumptions.
- Frame board inventory value: count and value the frame inventory as part of the purchase (typically $30,000–80,000 for a full-service dispensary). Negotiate a cap or true-up.
- Contact lens sales: reorder revenue and the practice's 1-800-CONTACTS / online CL competition exposure
- Accounts receivable aging: anything \>120 days is high collection risk — negotiate a holdback or exclude from purchase
Operational due diligence:
- Lease terms: years remaining, renewal options, rent escalation clauses, landlord transfer consent requirements (most commercial leases require landlord consent to assign on ownership change)
- Staff: employment agreements, non-competes, compensation, tenure — the optical staff and front desk are often what patients build loyalty to
- Software: practice management system (Eyefinity OfficeMate, Revolution EHR, Crystal PM, Compumed) — determine if you're keeping the system or migrating
Phase 3: Practice Valuation (Month 3)
Optometry practice valuations typically fall in the range of 1.0–1.5x annual adjusted gross receipts (AGR) for a general optometry practice. AGR is total collections net of refunds.
Premium drivers above 1.5x:
- Specialty services: orthokeratology (Ortho-K), vision therapy, low vision, dry eye clinic (LipiFlow, IPL) — specialty practices sell at 1.5–2.0x AGR
- High optical capture rate with well-managed inventory and in-house lab
- Long-term lease with favorable terms
- Strong hygiene metrics (recall rate \>70%, active patient growth)
Engage a healthcare-focused CPA or practice broker for a formal valuation report. Optometry-specific brokers (Optometry Inc., MBA — Medical Business Advisors) understand the nuances better than general business brokers.
Phase 4: Financing (Months 3–4)
SBA 7(a) loans are the most common financing vehicle for optometry acquisitions under $5M. Key lenders with optometry experience:
- Bank of America Practice Solutions: dedicated healthcare lending division, competitive rates
- Provide (formerly Doctor Financial): specialty focus on optometry and dental, fully online application
- Patterson Vision Finance: vendor financing often paired with frame or equipment purchases
- Live Oak Bank: healthcare SBA specialist
Standard terms: 10-year SBA loan, rates at prime + 2.75% (variable). Expect to provide 2 years of personal tax returns, business plan, and the seller's 3-year financials. Down payment: 10–20% for SBA; some lenders offer 0% down for strong borrowers acquiring well-documented practices.
Working capital: budget 3–6 months of operating expenses as a cash reserve separate from the acquisition loan.
Phase 5: Licensing Transfer and Provider Credentialing (Months 3–5)
State optometry board: Verify the seller's license is in good standing (no disciplinary history) with the state optometry board. Your own OD license must be active in the acquisition state before closing.
DEA registration: If the seller held a DEA registration (for therapeutic optometry states), you need your own DEA certificate. DEA does not transfer. Apply 6–8 weeks before closing.
Insurance credentialing transfer:
- VSP: VSP does not allow "transfer" — you apply as a new VSP provider. VSP credentialing takes 60–90 days. This is a material issue: VSP is the dominant vision plan in most markets. If you're not credentialed, you cannot process VSP benefits as an in-network provider. Negotiate a transition period in the purchase agreement where the seller processes VSP claims under their number (with your supervision) for a limited period — VSP has specific rules on this.
- EyeMed: 60–90 days credentialing
- Davis Vision, Spectera: 45–90 days each
- Medicaid: state-specific; some states require re-enrollment even for acquisitions
Medicare Part B (medical eye care): If the practice bills medical eye care (glaucoma monitoring, diabetic eye exams, macular degeneration treatment under Part B), PECOS enrollment is required for the new owner. Start 90 days before closing.
Phase 6: Optical Dispensary Transition (Months 5–6)
Frame board negotiation: The frame inventory is typically included in the purchase price at cost or at a negotiated value. Conduct a physical count during due diligence. Age out slow-moving inventory before closing — frames \>2 years in inventory are unlikely to sell and are dead capital.
Frame rep and wholesale account transfers: Major frame brands (Marchon, Safilo, Luxottica, Silhouette, Marchon) assign territory reps. Introduce yourself to each rep post-closing. Wholesale accounts (authorized dealer agreements) must be transferred to the new owner — most frame companies require a new dealer application.
Optical lab relationships: Identify the primary optical lab (Essilor Lab Network, VSP Optics, local lab) for surfacing and edging. Labs often extend favorable terms to practices with volume — confirm terms carry to new ownership.
Optical software: If staying on Eyefinity OfficeMate, arrange a software license transfer. If migrating to a different platform (Revolution EHR, Crystal PM, Compumed), plan a data migration 4–6 weeks post-close to avoid disruption during the immediate transition.
Phase 7: Patient Transition and Communication (Month 6 — Closing and Post-Close)
Patient recall letters: Mail a personalized letter to all active patients (seen within 24 months) introducing yourself within 2 weeks of closing. Template: "Dr. [Seller] has entrusted [their] practice to Dr. [You]. Your care will continue seamlessly."
Staff retention: Schedule individual meetings with all staff within the first week post-close. Staff turnover is the highest risk in an optometry practice acquisition — optical staff and front desk carry patient relationships. Consider retention bonuses for 6-month tenure.
Online presence: Update Google Business Profile, the practice website, and social media with new ownership within 48 hours of closing. Patients searching online must see continuity, not a "new practice" message.
Transition period: Many acquisitions include a 30–90 day transition period where the seller remains as an associate OD. This is highly recommended — the seller introduces you to key patients, covers patient questions about the change, and provides clinical continuity during insurance credentialing gaps.
Build Your Optometry Acquisition Gantt Chart
An optometry practice acquisition has 30+ tasks across legal, financial, clinical, and operational workstreams. The critical path is typically financing approval → VSP credentialing → lease assignment → closing. Map it visually before the LOI period starts.
[Use gantt-chart.io to build your optometry acquisition timeline — free, no login required.]