Groundwork

Market rankings · Alabama

Optometrists and eye clinics in Alabama

Markets across Alabama ranked by the Groundwork market score for optometrists and eye clinics, with competitor counts and household spending for each.

Listings
730
154 chain locations (21%)
Official establishments
355
+2.6% since 2019
Household spending a year
$2.1B
On medical and dental services
Listings per 10k households
3.7
10% below the U.S.
Spending per listing
$2.9M
8% below the U.S.
Rank among states
#42 of 51
Market score 33 · Lower middle

A site report maps the optometrists and eye clinics on map listings around any address in Alabama by name and distance, and the spending within reach.

Free10 actions over 3 days, no card

Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

As of September 2026, map listings count 730 optometrists and eye clinics in Alabama. Chain locations make up 21% of them, against 20% across the U.S. That is 3.7 per 10,000 households, 10% below the U.S. rate of 4.1.

Household spending on medical and dental services in Alabama comes to about $2.1B a year: $1,050 per household, 19% below the U.S. average. Spread across 730 optometrists and eye clinics, that is $2.9M per practice, 8% below the U.S. figure of $3.1M. That spending covers all medical and dental services, which optometrists and eye clinics share with other businesses in the trade.

The official count of businesses with payroll classed as offices of optometrists in Alabama was 355 in 2023, up 2.6% from 2019. That is one for every 5,626 households, against one for every 5,742 across the U.S. Across the U.S., the count rose 0.2% over the same years. Since fiscal 2022, 10 SBA-backed loans worth $9.9M have gone to businesses classed as offices of optometrists in Alabama.

Among the 50 states and DC, Alabama ranks #42 for optometrists and eye clinics, with a Groundwork market score of 33 (lower middle). Of the 13 scored metro areas in or partly in Alabama, the Montgomery metro area scores highest (56). Of the 9 scored small-town markets in or partly in Alabama, the LaGrange area scores highest (75).

Every market in Alabama for optometrists and eye clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Alabama, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching Alabama, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Montgomery, AL56412.7$3.8M+0.9%#130 of 386
2Mobile, AL54452.8$3.6M−0.7%#149 of 386
3Huntsville, AL52763.7$3.2M+12.5%#180 of 386
4Tuscaloosa, AL50353.3$3.1M+2.9%#204 of 386
5Auburn-Opelika, AL49253.3$3.2M+7.1%#211 of 386
Columbus, GA-AL48393.1$3.3M−1.3%#217 of 386
6Florence-Muscle Shoals, AL47203.1$3.2M+3.5%#230 of 386
7Daphne-Fairhope-Foley, AL47434.4$2.6M+14.8%#235 of 386
8Decatur, AL45203.2$3.3M+2.5%#250 of 386
9Dothan, AL30254.1$2.4M+3.4%#339 of 386
10Birmingham, AL232134.6$2.4M+1.4%#365 of 386
11Gadsden, AL22174.3$2.2M+0.4%#369 of 386
12Anniston-Oxford, AL5286.2$1.6M−0.3%#386 of 386

Small-town markets

Small-town markets reaching Alabama, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
LaGrange, GA-AL7561.5$6.6M+3.0%#29 of 400
1Talladega-Sylacauga, AL6571.8$5.2M0.0%#82 of 400
2Ozark, AL6252.5$3.8M+1.3%#109 of 400
3Enterprise, AL5873.3$3.2M+6.3%#138 of 400
4Fort Payne, AL5672.7$3.4M+3.4%#152 of 400
5Cullman, AL45226.2$1.7M+6.7%#252 of 400
6Scottsboro, AL3983.7$2.6M+3.3%#294 of 400
7Albertville, AL31205.5$1.9M+6.0%#336 of 400
8Selma, AL1285.0$1.6M−7.9%#390 of 400
Alexander City, ALNot scored31.8$5.6M−0.8%
Troy, ALNot scored32.4$3.9M+2.4%
Russellville, ALNot scored43.3$2.8M+1.1%
Eufaula, AL-GANot scored11.0$9.1M−1.2%

Counties

Counties in Alabama, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Elmore County, AL7772.1$5.2M+4.2%#90 of 1,302
2Autauga County, AL6852.2$5.1M+5.1%#224 of 1,302
3Limestone County, AL6671.7$6.9M+18.0%#273 of 1,302
4St. Clair County, AL61144.0$2.7M+7.1%#405 of 1,302
5Blount County, AL5852.3$4.5M+1.8%#457 of 1,302
6Talladega County, AL5772.1$4.6M+0.3%#481 of 1,302
7Tuscaloosa County, AL57323.6$3M+3.8%#493 of 1,302
8Mobile County, AL56452.8$3.6M−0.7%#514 of 1,302
9Lee County, AL56243.5$3.1M+8.6%#525 of 1,302
10Madison County, AL56694.2$2.9M+11.0%#529 of 1,302
11Baldwin County, AL55434.4$2.6M+14.8%#567 of 1,302
12Dale County, AL5452.5$3.8M+1.3%#574 of 1,302
13Colbert County, AL5372.9$3.5M+3.8%#607 of 1,302
14Walker County, AL5262.4$4M0.0%#630 of 1,302
15Shelby County, AL49364.1$3.1M+6.5%#700 of 1,302
16DeKalb County, AL4872.7$3.4M+3.4%#726 of 1,302
17Coffee County, AL4873.3$3.2M+6.3%#729 of 1,302
18Montgomery County, AL46293.2$3.2M−1.1%#764 of 1,302
19Lauderdale County, AL46133.3$3.1M+3.3%#765 of 1,302
20Morgan County, AL46173.5$3.1M+2.6%#766 of 1,302
21Chilton County, AL4284.5$2.3M+5.9%#880 of 1,302
22Cullman County, AL37226.2$1.7M+6.7%#978 of 1,302
23Etowah County, AL32174.3$2.2M+0.4%#1,056 of 1,302
24Jackson County, AL3083.7$2.6M+3.3%#1,083 of 1,302
25Houston County, AL29235.3$1.9M+2.8%#1,106 of 1,302
Show all 67 counties
Counties in Alabama, ranked for optometrists and eye clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Marshall County, AL25205.5$1.9M+6.0%#1,147 of 1,302
27Escambia County, AL2253.9$2.3M0.0%#1,175 of 1,302
28Jefferson County, AL221425.3$2.1M−1.3%#1,177 of 1,302
29Covington County, AL1774.8$2M+1.2%#1,228 of 1,302
30Marion County, AL1454.7$2M−0.3%#1,251 of 1,302
31Calhoun County, AL11286.2$1.6M−0.3%#1,266 of 1,302
32Dallas County, AL885.0$1.6M−7.9%#1,278 of 1,302
33Marengo County, AL367.6$1.2M−5.0%#1,300 of 1,302
Russell County, ALNot scored31.3$7.4M−0.6%
Tallapoosa County, ALNot scored31.8$5.6M−0.8%
Chambers County, ALNot scored21.5$6.2M−0.9%
Lawrence County, ALNot scored32.2$4.7M+2.3%
Pike County, ALNot scored32.4$3.9M+2.4%
Franklin County, ALNot scored43.3$2.8M+1.1%
Geneva County, ALNot scored10.9$9.9M+3.2%
Cherokee County, ALNot scored11.0$10M+5.8%
Barbour County, ALNot scored11.1$8.1M−1.4%
Winston County, ALNot scored11.1$9M+1.4%
Clarke County, ALNot scored00.0n/a−4.2%
Randolph County, ALNot scored22.2$4.5M+4.8%
Bibb County, ALNot scored22.6$3.6M+0.4%
Monroe County, ALNot scored22.7$3.3M−3.8%
Pickens County, ALNot scored23.0$3.2M−3.9%
Macon County, ALNot scored11.4$6.5M−6.8%
Butler County, ALNot scored22.6$3.4M−4.8%
Henry County, ALNot scored11.4$7M+7.1%
Fayette County, ALNot scored23.2$2.9M−2.8%
Cleburne County, ALNot scored11.7$5.7M+6.0%
Washington County, ALNot scored00.0n/a−3.3%
Hale County, ALNot scored11.8$5M+2.9%
Clay County, ALNot scored11.7$5.5M−0.1%
Lamar County, ALNot scored12.0$4.5M−2.6%
Crenshaw County, ALNot scored23.8$2.4M0.0%
Choctaw County, ALNot scored23.8$2.4M−5.7%
Sumter County, ALNot scored12.1$3.9M−5.0%
Conecuh County, ALNot scored12.3$3.9M−5.7%
Coosa County, ALNot scored00.0n/a−1.7%
Wilcox County, ALNot scored00.0n/a−8.3%
Bullock County, ALNot scored00.0n/a−4.5%
Lowndes County, ALNot scored00.0n/a−9.0%
Perry County, ALNot scored00.0n/a−12.2%
Greene County, ALNot scored00.0n/a−8.2%

Markets with fewer than 5 optometrists and eye clinics on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many optometrists and eye clinics are in Alabama?

Alabama has 730 optometrists and eye clinics on map listings as of September 2026. 154 of them (21%) are chain locations. The listings count optometrists and eye clinics. Official counts show 355 businesses with payroll classed as offices of optometrists in 2023, up 2.6% from 2019.

How much do households in Alabama spend on medical and dental services?

About $2.1B a year, or $1,050 per household. That is 19% below the U.S. average (an index of 81, where 100 is the U.S. average). Spread across the 730 optometrists and eye clinics on map listings, it comes to $2.9M per practice. The spending figure covers all medical and dental services, not only optometrists and eye clinics. It is estimated from the incomes of the 1,997,247 households in Alabama and national spending patterns by income.

How does Alabama compare with the U.S. for optometrists and eye clinics?

Alabama has 3.7 optometrists and eye clinics per 10,000 households, 10% below the U.S. rate of 4.1. Spending per practice is $2.9M, 8% below the U.S. figure of $3.1M. At the national ratio of optometrists and eye clinics to household spending, Alabama would have about 669, against 730 on map listings. There is one business with payroll in the industry for every 5,626 households, against one for every 5,742 across the U.S. The official count rose 2.6% from 2019 to 2023, against +0.2% for the U.S.

Which market in Alabama has the highest market score for optometrists and eye clinics?

Among 13 scored metro areas in or partly in Alabama, the Montgomery metro area scores highest, at 56 (upper middle). Among 9 scored small-town markets in or partly in Alabama, the LaGrange area scores highest, at 75 (high). Among 33 scored counties in Alabama, Elmore County scores highest, at 77 (high). Scores compare each market with others of its kind across the U.S.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Alabama scores 33 for optometrists and eye clinics (lower middle), #42 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Alabama. It maps the optometrists and eye clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

Optometrists and eye care in other states

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Top markets for optometrists and eye clinics across the U.S. · All business types in Alabama

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This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.