Rewind^3: Forget goal-setting and focus on purpose: a mindset conversation with Stephanie Bogan
20/20 MONEY: The Business of Optometry
Release Date: 12/29/2025
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...
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Chemistry in the practice: why alignment beats authority with Dr. Todd Cohan, Polly Stearns, & Sadie Blair
20/20 MONEY: The Business of Optometry
Recording live from IDOC Connection in Orlando, I sit down with Dr. Todd Cohan, Sadie Blair, and Polly Stearns from Forsight Vision and Midwest Dry Eye Center to talk about the relationship between vision and execution inside a growing private practice. We go into the dynamic between the owner (visionary) and the operations lead (integrator), and why that chemistry matters more than most doctors realize. We discuss leadership cadence, how they structure weekly meetings, how goals are set and tracked, and what it looks like to invest in developing internal talent. We also unpack the real...
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SNEAK PEEK: How to give patients choices when in the exam lane - The Optometry Success Podcast
20/20 MONEY: The Business of Optometry
In this episode, we share how to confidently give patients clear choices in the exam lane without creating confusion or pushback around vision and medical care. We explain how setting expectations early and taking ownership of clear communication builds trust and increases acceptance of follow up visits. We also touch on how to structure your schedule to support shorter, more frequent visits and why giving patients ownership of their decisions improves both the patient experience and practice profitability. Hosted By Adam Cmejla, CFP and Chad Fleming, OD, FAAO Have a question? Submit...
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Why you can't ignore AI as a practice owner (and a beginner's path to using it) with Eugene Shatsman
20/20 MONEY: The Business of Optometry
Eugene joins me to talk about how artificial intelligence is showing up in optometry and why there’s a growing gap between how patients use AI in their daily lives and how most practices are adopting it. We discuss how this shift is changing patient expectations, what it means for the patient journey, and where practices can use AI to improve engagement, communication, and efficiency—without losing the human element of care. We wrap up with a look at where AI in healthcare is headed and how practice owners can use it intentionally to enhance both patient experience and practice...
info_outlineWelcome to this episode rewind of 20/20 Money! In keeping with tradition of years past, I'm bringing back this episode yet again.
If you are a long-time listener of the show, I still think it's worth listening to these episodes and other repeat episodes, whether it's on my podcast or other podcasts, for two reasons. Number one, the host of the show valued the episode and thought it to be worthy enough for a repeat listen. Second, you are not the same person that you are when you first listen to the episode. It reminds me of one of my favorite quotes from the philosopher Heraclitus, who said "No person stands in the same stream twice, for they are not the same person and the stream is not the same." The same thing can be said for podcast episodes, books that we read or listen to, coaching programs that we're involved in, or any other content we're consuming with the goal of personal and/or professional improvement. If it was valuable at some point in the past, there's a good chance that it will be valuable in the future. Listening to things again at a different place in your life can allow you to pick up different pearls of knowledge from the same lesson.
Given the time of year, this is usually when we are thinking about goal setting, and everyone’s schedule is anything but normal around this time. I wanted to bring back the conversation that I had with my friend, business collaborator, and advisor coach Stephanie Bogan from early 2022. I’ll share some info about Steph here shortly in the intro and then close out this introduction with some personal thoughts and reflections.
While Stephanie has built and sold a number of businesses in her career, most recently she is the founder of Limitless Adviser, a coaching program where she empowers financial advisors to create and build wildly successful practices and a life that they love. This was a special conversation for me when I originally had it as I’ve been privileged to be involved in that program in a couple of different ways—first as an advisor that was being coached by Stephanie (from 2018-2020) and then serving as an advisor coach, where I help coach and empower other advisors to work intentionally on their practices by applying the mindset and methods that Stephanie teaches in the curriculum and that I’ve learned over the years as well. I exited that coaching business at the end of 2024 and I'd be lying if there was a part of me that doesn't miss what I was doing in that program, but my other businesses were asking a bit more of me and it was time to pass the torch to another group of advisors.
In this conversation we talk about something that tends to be popular around this time of year: goal setting. However, we talk about it from a bit of a different angle, which is first spending time focusing on your purpose and intention for building what you’re building and how money plays a role in that plan. We talk about it from two angles: the first being the practice owner that’s at the tail end of their career and facing an inevitable transition from their practice and also from the lens of a younger practice owner that has many years in front of them.
Now hundreds of episodes into 20/20 Money, this show has continued to grow and develop into something bigger than I thought it would have and I’m eternally grateful for everyone that’s been involved in the show. To all my guests that have given their time to come on the show and share their perspective, experience, and expertise—thank you. To my producer Kyle— yet another thank you for all your help with the show. From getting it initially set up in 2018 to handling everything with the show after I’ve finished recording an episode…I appreciate all that you do for the show. And lastly, to you, the listener of the show. Whether this is your first episode, or you’ve listened to dozens (or even hundreds!) of them, I’m sincerely grateful for the intimate, albeit asynchronous relationship that we’ve been able to have. My goal is to have positive impact at scale in the optometric community and help practice owners make educated and informed decisions in their business and with their money and this podcast has allowed me to have a platform to share not only my knowledge and experience but also the experience of the guests that I’ve had on the show. I have always tried to keep the show as objective and unbiased as possible. I’ve never taking a dollar of sponsorship money, no guest has ever paid to be on the show, nor have I ever paid a guest to be on the show. This podcast is organic and authentic, and your continued support through listening and sharing the show is something that I’m both humbled and grateful for and I look forward to another great year.
And with that introduction, I hope you enjoy this rewind episode of 20/20 Money: The business of optometry. Here's to your continued success.
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