The Blueprint for Growing a Multi-Million-Dollar Optometry Practice with Dr. Kurt Steele

20/20 MONEY: The Business of Optometry46mApril 6, 2026

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AI-Generated Summary

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.

Key Takeaways
1

Culture starts with the doctor—invest in your team, listen to them, and create a culture where people feel valued and heard.

2

Eliminate evening hours to preserve work-life balance; happy staff are more productive and less likely to leave.

3

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.

4

Measure your practice’s KPIs (revenue per exam, cost of goods, occupancy) not just to track performance, but to drive decisions.

5

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

Chapters
0:00
3 min

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.

Highlight
2:30
8 min

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.

Highlight
10:00
10 min

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.

Highlight
20:00
10 min

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.

30:00
10 min

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.

Highlight
High-Impact Quotes
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.
Dr. Kurt Steele7:04
Viral: 90.0
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.
Dr. Kurt Steele27:26
Viral: 88.0
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.
Dr. Kurt Steele15:39
Viral: 85.0
Speakers

Host

Adam Shmela

Guest

Dr. Kurt Steele
Topics Discussed
team culture and leadership95%practice ownership and independence90%succession planning and partner development88%data-driven practice management85%private equity in optometry80%strategic planning and implementation78%work-life balance for staff75%operational efficiency and KPIs70%
People & Brands

Dr. Kurt Steele

person

120xPositive

Adam Shmela

person

85xPositive

We're Not Selling, We're Winning

book

25xPositive

Molly

person

10xPositive

VisionSource

organization

6xNeutral

Brett Davis

person

5xPositive

Amy

person

5xPositive

QuickBooks

product

5xNeutral

drcurtsteel.com

product

4xPositive

Revolution EHR

product

3xNeutral

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