The Blueprint for Growing a Multi-Million-Dollar Optometry Practice with Dr. Kurt Steele
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In this episode of 20/20 Money: The Business of Optometry, host Adam Shmela sits down with Dr. Kurt Steele, a multi-million-dollar optometry practice owner and author of 'We're Not Selling, We're Winning: The Simple Blueprint That Grew Our Practice from $280,000 to $4 Million.' The conversation centers on the foundational role of team culture, leadership, and strategic ownership in building a sustainable, independent optometry practice. Dr. Steele shares how prioritizing staff well-being—such as eliminating evening hours to preserve family time—led to higher engagement, lower turnover, and accelerated growth. He emphasizes that culture starts with the doctor and office manager, citing his decision to hire a part-time college student as office manager over a veteran administrator as a pivotal moment in transforming his practice’s culture. The discussion also tackles the growing influence of private equity in optometry, arguing that independent ownership preserves professional autonomy, community impact, and long-term practice value. Dr. Steele outlines a practical 7-30-90 strategic plan for implementing change in manageable phases, focusing on high-impact, low-effort wins first. He advocates for a mindset shift from 'admin days' to 'strategic days,' using data-driven KPIs to guide decisions, and shares his approach to succession planning through phased ownership transitions with future partners—proving that growth doesn’t require selling to private equity. The episode concludes with a powerful message: sustainable success comes not from chasing maximum exit value, but from building a practice that thrives independently, with a team that feels invested and a culture that endures.
Culture starts with the doctor—invest in your team, listen to them, and create a culture where people feel valued and heard.
Eliminate evening hours to preserve work-life balance; happy staff are more productive and less likely to leave.
Use a 7-30-90 strategic plan to implement change: focus on one or two high-impact, low-effort wins in the first week, then scale over 30 and 90 days.
Measure your practice’s KPIs (revenue per exam, cost of goods, occupancy) not just to track performance, but to drive decisions.
Succession planning isn’t about selling to private equity—build future partners by bringing in doctors as co-owners early and growing them into partners.
…and 2 more takeaways available in PodZeus
Introduction: The Real Engine of Practice Growth
“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.”
The Cultural Revolution: From Boss to Beloved Leader
“I didn’t want to lose, and this was kind of a key moment. Talking about who's going to miss their kids' ball games. It was our evening hour. I felt horror. It punched me right in the gut.”
Why 'We're Not Selling, We're Winning' Matters
“I can't do it to them. I've got people that work for me 10, 15, 26 years. I can't do it to them.”
The 7-30-90 Plan: A Practical Framework for Growth
“You need to get a win within a week. That's a good point. Yep.”
Succession Without Selling: The Partner Path
“You don’t have to sell the whole thing. And by the way, you can own the practice, pay the doctor for production and then two or three extra percent for like being the CEO and then take the ownership draw out of it.”
“I didn't want to lose, and this was kind of a key moment. Talking about who's going to miss their kids' ball games. It was our evening hour. I felt horror. It punched me right in the gut.”
“You don't have to sell the whole thing. And by the way, you can own the practice, pay the doctor for production and then two or three extra percent for like being the CEO and then take the ownership draw out of it.”
“I can't do it to them. I've got people that work for me 10, 15, 26 years. I can't do it to them.”
Host
Guest
Dr. Kurt Steele
person
Adam Shmela
person
We're Not Selling, We're Winning
book
Molly
person
VisionSource
organization
Brett Davis
person
Amy
person
QuickBooks
product
drcurtsteel.com
product
Revolution EHR
product
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