Optometrists Building Empires

Dr. Thanh Mai of Insight Vision Center Optometry (Costa Mesa, Irvine, Las Vegas) returns for a tactical second conversation. We get specific about what it takes to turn an underperforming practice around: why the effort from zero to one location matches the effort from one to three, where hiring and team systems create real pull, and the one part of the New Business Road Test framework that goes against common logic. He also explains why a named person still beats automation for patient attention. Episode 113 of Optometrists Building Empires.

Every practice owner has an instant answer for why their best person quit: money, a better offer, kids these days. The data and the owners who fixed it say something else. Healthcare front-line tenure averages 18 months. Some practices keep their people. The difference is system and culture, not personality. This solo episode opens with a question you have to answer out loud, then tells Nico's projection-booth story before the number lands. Real clips from Dr. Nick Lillie, Dr. Gina Wesley, and Dr. Fred Cho show what it looks like when the system owns the failure, not the person. Episode 112 of Optometrists Building Empires.

Dr. Alex Martin: Curiosity, Grit, and the Future of Eye Care Dr. Alex Martin joins Ankit Patel to discuss access to eye care, remote diagnostic technology, and the role clinicians should play in shaping new tools. He shares his perspective that remote tools cannot displace full eye exams when patients need them. He also shares how a high-school biology experiment taught him persistence and why he is learning to recognize when saying yes has become overcommitment. This episode reflects Alex's views and experiences from the August 28, 2026 recording. It makes no product-performance or clinical-efficacy claim. CHAPTERS 00:00 Optometrists Building Empires 00:27 Meet Dr. Alex Martin 02:48 A career across clinical care and technology 12:16 The access gap in eye care 17:25 Remote diagnostics and access 24:02 Clinicians shaping new tools 28:02 Learning persistence 33:27 Connect with Alex CONNECT WITH ALEX LinkedIn: https://www.linkedin.com/in/alexander-martin-od-faao-2a609ab0 ABOUT OPTOMETRISTS BUILDING EMPIRES https://buildingempires.live BOOK WITH ANKIT https://meetings.hubspot.com/ankit98/optometry-redefined

Dr. Nadia Afkhami: Start Before You Feel Ready Dr. Nadia Afkhami started sharing her experience online as an optometry student. Those connections later helped her find mentors, meet her podcast co-hosts and connect with an associate for her practice. In this conversation with Ankit Patel, she talks about starting optometry school at 29, buying into an existing practice and choosing a work schedule that fits her family. She also shares why taking the first step matters, how she asked her podcast network for help pursuing a Vision Expo speaking opportunity, and what she would tell her younger self about noticing progress. In this episode: - How sharing her own experience helped Nadia build a professional community. - Why her practice, social media and podcast belong to the same story. - What practice ownership means to her beyond adding locations. - How she approaches opportunities when she feels uncertain. - Why she values the path that brought her to optometry. Chapters 00:00 Opening 00:27 Meet Dr. Nadia Afkhami 02:05 Building an optometry community online 05:18 Saying yes before you feel ready 08:09 Starting optometry school at 29 09:25 Practice ownership on her own terms 11:20 How the practice, podcast and social media connect 12:40 Take the first step and ask for help 15:08 Her hopes for the profession 18:39 Family support and a first-generation journey 20:02 Advice to her younger self 22:28 The opportunities behind a change of plans 24:26 Connect with Nadia 27:35 Closing and Optometry Redefined Connect with Dr. Nadia Afkhami Instagram: https://www.instagram.com/eyeamdrnadia/ LinkedIn: https://www.linkedin.com/in/drnadiaafkhami/ The Depth Perception Podcast: https://defocusmediagroup.com/the-depth-perception-podcast/ Connect with Ankit Book a conversation with Ankit and ask about Optometry Redefined: https://meetings.hubspot.com/ankit98/optometry-redefined Optometrists Building Empires https://buildingempires.live

How many more hours a week does an owner spend on patient care than the associate they employ? Most owners say ten. The best national numbers put it at about two. This episode takes apart the belief behind every first-associate hire that did not work out: busyness is not demand, an associate multiplies demand but does not create it, and the number that decides the hire never shows up on a report. With real cut-ins from Dr. Carlos Grandela (Episode 092) on hiring before the patients existed versus hiring off a documented 8-to-12-week wait, and Dr. Kyle Maxam (Episode 089) on using your own patient base to fill a new doctor's column. Plus the 1962 Tusko story on scaling by the wrong input. By the numbers: owner vs employee patient-care hours 1,828 vs 1,731 (AOA 2017). Net income $172,016 vs $101,457 (AOA 2017). Seven years later $243,650 vs $156,819 (Review of Optometry 2024, n=422). Widest ownership gap: doctors 4 to 6 years in practice, $59,716 apart. One thing to count: every Monday for four weeks, write down how many days out your third open exam slot is. Under two weeks is a demand question, not a doctor shortage.