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Optometrist: how many are there, and how many are in private practice?

Optometrists are doctors of optometry who examine, diagnose, treat, and manage conditions of the eye and visual system, and may identify related systemic conditions. This page reports 94,306 active NPI records nationally whose primary NUCC taxonomy is Optometrist (152W00000X), within Eye and Vision Services Providers, and summarizes how many are flagged as sole proprietors in NPPES.

National totals

Active NPI records94,306
Registered sole proprietors20,502 (21.7%)
NUCC taxonomy code152W00000X
GroupingEye and Vision Services Providers

What this specialty covers

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Reading the sole-proprietor share

For optometrists, the sole-proprietor share is best read as the portion of NPI records whose NPPES sole-proprietor field is flagged, not as a direct count of optometrists in private practice. The field is self-reported and may not show whether an optometrist owns a practice, works independently, is employed by a group or corporate organization, or practices in more than one setting, so it is an imperfect proxy.

By state

StateActive NPIsSole proprietorsShare
California11,3713,14927.7%
Texas7,6901,74122.6%
Florida5,8031,49925.8%
New York5,2851,34425.4%
Illinois4,03578119.4%
Pennsylvania3,86792423.9%
Ohio3,62380022.1%
Michigan3,01249016.3%
North Carolina2,41841017.0%
Indiana2,40241417.2%
New Jersey2,39758924.6%
Georgia2,34749421.0%
Washington2,34654323.1%
Virginia2,20637417.0%
Massachusetts2,10446222.0%
Colorado2,03836317.8%
Arizona1,90536519.2%
Tennessee1,90343923.1%
Missouri1,77726715.0%
Wisconsin1,66225215.2%
Minnesota1,62825415.6%
Maryland1,53425316.5%
Alabama1,43427219.0%
Oklahoma1,35931323.0%
South Carolina1,25324219.3%
Kentucky1,24222117.8%
Oregon1,23823819.2%
Kansas1,12619016.9%
Iowa1,09019017.4%
Connecticut1,04424123.1%
Nevada91916518.0%
Arkansas88319422.0%
Louisiana79623129.0%
Utah76113818.1%
Nebraska7359312.7%
Mississippi69716323.4%
Idaho59310617.9%
Hawaii51511321.9%
New Mexico4709620.4%
West Virginia44910824.1%
Maine4217618.1%
New Hampshire4197618.1%
Rhode Island3885915.2%
South Dakota3716016.2%
Montana3558925.1%
North Dakota3545916.7%
Alaska2966823.0%
Delaware2402811.7%
Wyoming2385723.9%
Vermont1924624.0%
District of Columbia1543120.1%

New NPI registrations by year

Year first enumeratedNPIs
20172,367
20182,548
20192,839
20202,447
20212,929
20222,469
20232,405
20242,437
20252,488
2026 (partial year)30

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many optometrists are there in the United States?

There are 94,306 active NPI records with Optometrist as the primary taxonomy. This is a record count, not necessarily a count of unique optometrists or currently practicing clinicians.

How many optometrists are in private practice?

NPPES flags 20,502 records, or 21.7%, as sole proprietors. That flag is not a definitive measure of private practice ownership or employment.

Which states have the most optometrists?

The largest state counts are California with 11,371, Texas with 7,690, Florida with 5,803, New York with 5,285, and Illinois with 4,035.

How many optometrist NPIs were first enumerated in recent years?

The reported counts are 2,437 in 2024, 2,488 in 2025, and 30 in 2026. These are NPI enumeration counts, not a measure of changes in the number of practicing optometrists.

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