Our medical team, Dr. Lahr and Dr. Neighbors, answer our questions about the differences between ophthalmologists and optometrists, and how each are represented in our network.

“What is the difference between an ophthalmologists and optometrists?”

Both ophthalmologists and optometrists are doctors of the eye. Optometrists provide comprehensive eye exams, prescribe corrective lenses, and diagnose, treat and manage eye diseases and conditions. Ophthalmologists are medical doctors specializing in treating complex eye disorders and performing eye surgery—the two work together to provide the full spectrum of eye care.

“How is each represented in the EyeMed Insight network?”

To best serve our members, our network is an optimal mix of both ophthalmologists and optometrists.

“Why are there more optometrists than ophthalmologists in the network?"

The numbers reflect the overall number of each profession in the market and how our members use their benefits. The primary professional service provided to members is a comprehensive eye examination and optometrists are the primary provider for this service. 

• Most ophthalmologists specialize in retina, glaucoma, pediatric, neurology, cornea, oculoplastic or anterior segment (cataract/refractive) treatment.
• Financially, ophthalmologists are best compensated for surgical procedures.
• Ophthalmology practices participating in managed vision care plans have optometrists employed on staff to perform primary eye care responsibilities.

“Where are ophthalmologists located?”

To succeed, ophthalmologists need a large population base and are often located in urban and suburban locations. Few ophthalmology practices are located in rural areas that would support geo-access in outlying areas.

There has been a significant amount of consolidation in ophthalmology practices in the past decade reducing the number of practice locations. From 2015-2022, the number of practicing ophthalmologists decreased by 0.2%, while the number of practice locations decreased by 1,259 or 18%.

“What’s the business model for an ophthalmologist?”

There are generally two distinctly different business models:

Referral-based ophthalmology practice — In this model, the ophthalmologists in the practice rely on referrals to drive their surgical practice. These practices may also have optometrists on staff, but to avoid any appearance of competing with local optometry practices, they don’t participate in vision plans or dispense eyewear.

Full-service ophthalmology practice — This model offers eye care at all levels. Entry level (MVC patients), primary eye care treatment (ex, dry eye), laser therapy and surgical eye care drive patient volume. This model will have a fashion optical onsite and compete with all area practices for patients at every level.

To learn more, speak with your EyeMed representative or visit eyemed.com