Practice financing decoded: what owners need to know now about how banks think about deals
20/20 MONEY: The Business of Optometry
Release Date: 05/18/2026
Practice financing decoded: what owners need to know now about how banks think about deals
20/20 MONEY: The Business of Optometry
Thinking about buying or expanding a practice, but nervous about debt, banks, or making an expensive mistake? In today’s episode, I’m joined by Mike Smith of Bank of America to demystify the lending process for optometrists. We break down what banks actually look for in a borrower, how student loans and cash reserves really factor in, why tax returns matter more than stories, and the common traps buyers and sellers fall into when financing a deal. If utilizing OPM, other peoples' money like a bank's, is on your radar (now or in the future), this conversation can save you time,...
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How great practice owners build teams that stay and perform
20/20 MONEY: The Business of Optometry
What if the biggest threat to your practice isn’t reimbursement, competition, or overhead—but the way you hire, lead, and retain people? In today’s episode, I’m joined by Mike Dixon, president of Hoops, for a conversation every practice owner needs to hear. We unpack why staffing issues feel so hard, why most owners were never trained to lead, and how the right systems can turn your team from your biggest headache into your greatest competitive advantage. If you’ve ever said, “I just can’t find good people,” this episode may challenge the way you think about the real...
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Don't make these financial and business mistakes! (the talk I give at every optometry school's private practice club)
20/20 MONEY: The Business of Optometry
The financial decisions you make early in your career can shape the next several decades—and most people don’t realize it until much later. On this episode, I’m sharing a presentation I recently gave to students at the Indiana University School of Optometry on the timeless financial and business lessons every optometrist should understand. I discuss the power of compounding, how to think about saving priorities, student loans, disability and life insurance, and why your income is your greatest wealth-building tool. I also cover important concepts on the business side of optometry,...
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Using EOS to Create Clarity and Traction in Your Practice with Tom Restivo
20/20 MONEY: The Business of Optometry
Ever wonder if, when, or how to build stronger operations within your practice? In this episode, I sit down with Tom Restivo to unpack EOS and what it looks like to build a stronger operational foundation inside an optometric practice. Tom shares his experience leading a rapidly growing eye care organization through expansion, complexity, and the pressures that eventually exposed where systems were missing. We talk about why growth without structure creates avoidable friction, how core values shape hiring and leadership decisions, and why vision has to be more than a vague idea if you want...
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How a Limiting Mindset Can Cost Practice Owners More Than They Realize with Dr. Steve Vargo
20/20 MONEY: The Business of Optometry
In this episode I sit down with Dr. Steve Vargo to unpack a mindset that many practice owners quietly wrestle with: the belief that there is no longer money to be made in the basics of optometry. We start with a real question from a practice owner who feels discouraged by stagnant reimbursements and declining capture rates, and use it as a springboard to discuss the deeper issue underneath it all: communication. Steve explains why successful practices are not necessarily dependent on adding new cash pay services, but instead on improving how doctors listen, communicate, and guide...
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Independence vs Isolation in Private Practice with John Marvin
20/20 MONEY: The Business of Optometry
In this episode I sit down with John Marvin to explore a challenging but important idea for private practice owners: the difference between independence and isolation. We unpack John’s perspective on why fierce independence can sometimes limit growth when it prevents doctors from learning from others or leveraging the resources already available to them. Our conversation touches on mindset, the importance of personal growth as a business owner, and why building something bigger than yourself often requires becoming comfortable with discomfort. If you are thinking about the long term...
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The Blueprint for Growing a Multi-Million-Dollar Optometry Practice with Dr. Kurt Steele
20/20 MONEY: The Business of Optometry
Most optometrists think growth comes from better marketing or more patients—but the real advantage often starts somewhere much less obvious: your team and your culture. In this episode of 20/20 Money, Dr. Kurt Steele joins me back on the show to discuss the leadership philosophy and operational frameworks that helped him build a thriving multi-million-dollar optometry practice while developing future leaders inside the organization. The conversation explores why the strongest practices aren’t simply focused on production or patient volume, but instead invest heavily in...
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Sponsoring a health insurance plan in your practice may not be as expensive as you think
20/20 MONEY: The Business of Optometry
Health insurance is one of the most confusing and frustrating decisions practice owners face. In this episode I sit down with Matt Allen, founder of Iconic Insurance, to break down the real options available to optometric practice owners and their teams. We walk through the three primary approaches to offering coverage including fully funded plans, self funded plans, and reimbursement strategies. Matt explains how each structure works, when they make sense, and why understanding the risk profile of your team can dramatically impact cost and plan design. We also spend time discussing a...
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Tax Strategies to Embrace and Avoid & A Case Study on Where to Look for Errors on Your Tax Return: My Guest Appearance on Eye Own A Business Podcast
20/20 MONEY: The Business of Optometry
Many optometrists are either leaving money on the table with their tax strategy—or unknowingly pushing the boundaries of tax law. Today’s episode is my guest appearance on Dr. Steve Vargo’s Eye Own a Business Podcast. Steve invited me onto his show to talk about tax planning for optometrists—specifically the strategies practice owners should be embracing right now, the ones they should avoid, and where costly mistakes often show up on tax returns. In our conversation, we walk through several examples of where optometric practice owners tend to be either too conservative...
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How VOSH International is changing global eye care—and how you can be part of it w/ Dr. Vicki Weiss, President of VOSH International
20/20 MONEY: The Business of Optometry
In this episode I sit down with Dr. Vicki Weiss, president of VOSH International, to talk about how optometrists can use their clinical skills to create impact far beyond their own practices. We discuss how VOSH has evolved from the traditional short term clinic model into a global organization focused on education, partnership, and strengthening optometric care in low and middle income countries. Dr. Weiss shares how she became involved, what the organization looks like today, and the many ways ODs can contribute through time, talent, and treasure. If you have ever wondered how your work as...
info_outlineThinking about buying or expanding a practice, but nervous about debt, banks, or making an expensive mistake?
In today’s episode, I’m joined by Mike Smith of Bank of America to demystify the lending process for optometrists. We break down what banks actually look for in a borrower, how student loans and cash reserves really factor in, why tax returns matter more than stories, and the common traps buyers and sellers fall into when financing a deal. If utilizing OPM, other peoples' money like a bank's, is on your radar (now or in the future), this conversation can save you time, money, and unnecessary stress.
Resources:
Download the Practice Owner's Financial Toolkit
20/20 Money Ultimate Financial Success Masterclass
Check out Adam's new book: How to Buy an Optometry Practice
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The Optometry Success Podcast
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