Good, fast, cheap: why you probably can’t have all three
20/20 MONEY: The Business of Optometry
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. In this episode of 20/20 Money: The Business of Optometry, I explore the familiar idea of “good, fast, and cheap: pick two” and applies it to the professional services optometric practice owners rely on every day. It’s easy to compare prices. It’s much harder to compare value—especially when you’re hiring an attorney, financial advisor, consultant, accountant, IT provider, or other professional precisely because they possess...
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The problems success doesn't solve
20/20 MONEY: The Business of Optometry
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,...
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Before you write the check, prove the problem first
20/20 MONEY: The Business of Optometry
The most expensive mistake in your practice might be solving a problem you never proved existed. Dr. Jen Stewart joins me back on the show for a conversation about making better decisions before writing the check. Inspired by we explore why practice owners should test assumptions, gather evidence, and understand what success actually looks like before committing significant money or resources to a decision. One idea kept resurfacing throughout our conversation: more isn’t better; better is better. Before you hire another employee, buy another piece of equipment, or sign...
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Building the perfect portfolio when you own a practice
20/20 MONEY: The Business of Optometry
The investments you own may be perfectly reasonable—and still be completely wrong for you. In this episode of 20/20 Money: The Business of Optometry, I’m joined again by Peter Lazaroff, Chief Investment Officer at Plancorp and author of , for a conversation about what actually makes an investment portfolio “perfect.” We discuss why portfolio construction has to begin with the investor rather than the investments, why simplicity is valuable but shouldn’t become an ideology, and how to evaluate whether added complexity is actually solving an important problem. Peter...
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When success quietly creates too much risk
20/20 MONEY: The Business of Optometry
You may feel diversified while quietly becoming more dependent on the exact same sources of wealth. In this episode of 20/20 Money: The Business of Optometry, I explore concentration risk from two angles that practice owners often don’t connect: what’s happening inside an investment portfolio and what’s happening on their personal balance sheet as their practice becomes more valuable. We start with the S&P 500. Because the index is market-cap weighted, the companies that perform best naturally become larger portions of the index. Today, . That doesn’t make the S&P 500 a bad...
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Does your optometry practice even need a front desk anymore?
20/20 MONEY: The Business of Optometry
What if one of the most familiar parts of your optometry practice is also one of the things most overdue for a rethink? This week’s episode of 20/20 Money: The Business of Optometry is a little different. After a few updates on what’s ahead for the podcast—including upcoming guests, a potential optometry-owner ski meetup at Copper Mountain before IDOC Connection 2027, and an opening in the OD Masterminds Founders Club—I’m sharing an episode from another project that some listeners may not yet have discovered: The Optometry Success Podcast. The Optometry Success Podcast...
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The 401(k) rules have changed. Has your retirement plan?
20/20 MONEY: The Business of Optometry
If your practice has been using the same retirement plan for years simply because “it works,” you may be leaving valuable planning opportunities on the table. On this episode of 20/20 Money: The Business of Optometry, I’m joined by Jared Porter, co-founder of 401GO, for a practical conversation about how much the qualified retirement plan landscape has changed—and why optometric practice owners should periodically reevaluate whether their current plan still fits their business. We discuss why SIMPLE IRAs may no longer be as “simple” or advantageous as many owners assume, how...
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Why your optometry marketing isn't working with Jeremy Bono from IDOC Marketing
20/20 MONEY: The Business of Optometry
Your next patient may already be looking for an optometrist—and choosing someone else before you ever know they existed. On this episode of 20/20 Money: The Business of Optometry, I’m joined by Jeremy Bono, Director of Optometry Marketing Services at IDOC, for a wide-ranging conversation about what effective marketing actually looks like inside an optometry practice. We start with a bigger question: does the public really understand what an optometrist does—and, more importantly, why they should regularly see one? From there, Jeremy and I explore why simply saying that you provide...
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Is optometry too focused on specialty services? A discussion with Dr. Kyle Klute
20/20 MONEY: The Business of Optometry
What if the pressure to add specialty services is distracting you from the value already sitting inside your practice? In this episode of 20/20 Money: The Business of Optometry, Adam is joined by Dr. Kyle Klute for a thought-provoking conversation about specialization, comprehensive eye care, and the growing pressure practice owners may feel to purchase new technology or build a niche service line. Kyle explains why labeling dry eye, myopia management, glaucoma, and other areas as “specialties” can unintentionally allow optometrists to treat them as optional. Instead, he argues that ODs...
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How successful practice owners actually become wealthy
20/20 MONEY: The Business of Optometry
A profitable practice can create tremendous cash flow—but it does not automatically create personal wealth. In this episode of 20/20 Money: The Business of Optometry, Adam bridges the gap between running a successful optometry practice and using that success to build lasting financial independence. Drawing on nearly 20 years of working with business owners, he explains why practice size, income, and personal net worth are related—but far less correlated than many owners assume. Adam shares several patterns consistently demonstrated by financially independent practice owners,...
info_outlineWhat 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.
Have a podcast-related question? Contact our team here!
Resources:
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Check out Adam's book: How to Buy an Optometry Practice
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Yaryan Eye Care Center — Dr. Andy Yaryan
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Moses EyeCare Centers — Dr. Jeni Kohn
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Johnson Curran Optometry Centers — Dr. Patrick Curran
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The 7 Habits of Highly Effective People by Stephen R. Covey
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Multiplication by Subtraction by Shannon Waller and Jayne Stymiest
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For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!
Check out Adam's other podcast!
The Optometry Success Podcast
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