Show Notes
What does it really take to build and lead a successful multi-location optometry practice? In this episode of 20/20 Money, I'm joined by Dr. Andy Yaryan, Dr. Jeni Kohn, and Dr. Patrick Curran, three experienced practice owners who offer an honest look at what is happening beneath the surface of a growing practice. We discuss the challenges that remain even after achieving visible success, including rising expenses, staffing and culture, shrinking margins, associate recruitment, and the danger of becoming complacent.
We also explore how each owner evaluates investments in the practice, why the desired return is not always financial, and how priorities can shift from maximizing income to creating more time and freedom. Our conversation covers the metrics they watch most closely, from operating profit and staff costs to new-patient growth, retention, and revenue-cycle management, as well as the importance of building strong leaders, delegating effectively, and having difficult conversations before unresolved issues begin affecting the entire team.
Finally, Andy, Jeni, and Patrick share some of the lowest points in their ownership journeys and what helped them move forward. Their experiences are an important reminder that sustainable success rarely looks as effortless from the inside as it does from the outside, and that practice ownership requires continued learning, honest self-evaluation, and the willingness to keep working through difficult seasons.
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Resources: Book a Triage call with Adam
Download the Practice Owner's Financial Toolkit
20/20 Money Ultimate Financial Success Masterclass
OD Mastermind Interest Form
Check out Adam's book: How to Buy an Optometry Practice
Yaryan Eye Care Center — Dr. Andy Yaryan
Moses EyeCare Centers — Dr. Jeni Kohn
Johnson Curran Optometry Centers — Dr. Patrick Curran
The 7 Habits of Highly Effective People by Stephen R. Covey
Multiplication by Subtraction by Shannon Waller and Jayne Stymiest
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More from 20/20 MONEY: The Business of Optometry
Welcome to this episode of 20/20 Money! My guest on today's show is Greg Crabtree, CPA.
In this episode of 20/20 Money: The Business of Optometry, I'm joined by Nathan Hayes of Books & Benchmarks to go over their recently updated benchmarks analysis and unpack what the latest optometry practice data says about growth, overhead, and profitability. We discuss why a benchmark is a starting point, not a verdict on your practice, and why rising expense ratios may call for a closer look at revenue rather than an immediate round of cuts.
The most expensive professional service may not be the one with the highest price—it may be the one you mistakenly thought was a great deal.
The most expensive mistake in your practice might be solving a problem you never proved existed.
The investments you own may be perfectly reasonable—and still be completely wrong for you.