Health care · County · Alabama
Optometrists and eye clinics in Madison County, AL
The optometrists and eye clinics in Madison County, AL, the household spending behind them and how the market ranks against other counties.
Groundwork market score · out of 100
Score 56 out of 100: Upper middle
Ranked #529 of 1,302 scored counties
#10 of 33 scored counties in Alabama
- Listings
- 69
- 15 chain locations (22%)
- Official establishments
- 32
- +3.2% since 2019
- Household spending a year
- $198.7M
- On medical and dental services · $1,204 a household
- Spending per listing
- $2.9M
- 8% below the U.S.
- Listings per 10k households
- 4.2
- 2% above the U.S.
- Population, 2025
- 433,516
- +11.0% since 2020
See the optometrists and eye clinics around any address in Madison County
The site report maps the optometrists and eye clinics on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Madison County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
Households in Madison County spend about $198.7M a year on medical and dental services, or $1,204 per household, 7% below the U.S. average. Spread across 69 optometrists and eye clinics, that is $2.9M per practice, 8% below the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.
There are 69 optometrists and eye clinics on map listings in Madison County as of September 2026. Chain locations make up 22% of them, against 20% across the U.S. That is 4.2 per 10,000 households, 2% above the U.S. rate of 4.1.
Official counts show 32 businesses with payroll classed as offices of optometrists in Madison County in 2023, up 3.2% from 2019. That is one for every 5,157 households, against one for every 5,742 across the U.S.
Population estimates put the population change in Madison County from 2020 to 2025 at +11.0%, faster than the U.S. (+3.1%). For optometrists and eye clinics, Madison County has a Groundwork market score of 56 (upper middle): #529 of 1,302 scored counties and #10 of 33 scored counties in Alabama.
How Madison County compares
The same measures for Alabama and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the optometrists and eye clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Madison County | Alabama | U.S. |
|---|---|---|---|
| Listings per 10k households | 4.2 | 3.7 | 4.1 |
| Spending per listing | $2.9M | $2.9M | $3.1M |
| Households per official establishment | 5,157 | 5,626 | 5,742 |
| Official establishment growth, 2019–2023 | +3.2% | +2.6% | +0.2% |
| Population growth, 2020–2025 | +11.0% | +3.2% | +3.1% |
| Spending per household on medical and dental services | $1,204 | $1,050 | $1,288 |
| Median household income | $86,499 | $63,999 | $80,734 |
| Groundwork market score | 56 | 33 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 31 → 32+3.2% over the period
- Employees, 2023
- 245
- Annual payroll, 2023
- $11.6M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 6915 chain locations
- Listings at the U.S. rate for this spending
- 63The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of optometrists in Madison County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in Madison County
- Population, 2025 estimate
- 433,516+11.0% since 2020
- Households
- 165,031
- Median age
- 39.6
- Homes lived in by their owners
- 68%
- Vehicles per household
- 1.9
- Land area
- 802 sq. mi.
- People per square mile
- 506
- Median household income
- $86,499+32.2% vs. 2015–2019, before inflation
- Average household income
- $115,432
- Median home value
- $299,200
- Jobs located here
- 217,020
- Daytime population
- 448,110Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Madison County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the optometrists and eye clinics on map listings by name and distance.
Or open the report at the center of Madison County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardOptometrists and eye care across Alabama
Every Alabama market ranked →The highest-scoring counties in Alabama for optometrists and eye clinics, numbered among those based in Alabama, with Madison County marked.
Top counties in Alabama
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Elmore County, AL | 77 | 7 | 2.1 | $5.2M | +4.2% | #90 of 1,302 |
| 2Autauga County, AL | 68 | 5 | 2.2 | $5.1M | +5.1% | #224 of 1,302 |
| 3Limestone County, AL | 66 | 7 | 1.7 | $6.9M | +18.0% | #273 of 1,302 |
| 4St. Clair County, AL | 61 | 14 | 4.0 | $2.7M | +7.1% | #405 of 1,302 |
| 5Blount County, AL | 58 | 5 | 2.3 | $4.5M | +1.8% | #457 of 1,302 |
| 6Talladega County, AL | 57 | 7 | 2.1 | $4.6M | +0.3% | #481 of 1,302 |
| 7Tuscaloosa County, AL | 57 | 32 | 3.6 | $3M | +3.8% | #493 of 1,302 |
| 8Mobile County, AL | 56 | 45 | 2.8 | $3.6M | −0.7% | #514 of 1,302 |
| 9Lee County, AL | 56 | 24 | 3.5 | $3.1M | +8.6% | #525 of 1,302 |
| 10Madison County, AL | 56 | 69 | 4.2 | $2.9M | +11.0% | #529 of 1,302 |
Other business types in Madison County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics39
- Dentists and orthodontists43
- Primary care and pediatrics44
- Urgent care and walk-in clinics47
- Chiropractors53
- Physical therapy48
- Optometrists and eye care56
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many optometrists and eye clinics are in Madison County, AL?
As of September 2026, map listings count 69 optometrists and eye clinics in Madison County. 15 of them (22%) are chain locations. The listings count optometrists and eye clinics. Official counts show 32 businesses with payroll classed as offices of optometrists in 2023, up 3.2% from 2019.
How much do households in Madison County, AL spend on medical and dental services?
About $198.7M a year, or $1,204 per household. That is 7% below the U.S. average (an index of 93, where 100 is the U.S. average). Spread across the 69 optometrists and eye clinics on map listings, it comes to $2.9M per practice. That spending covers all medical and dental services, which optometrists and eye clinics share with other businesses in the trade. It is estimated from the incomes of the 165,031 households in Madison County and national spending patterns by income.
How does Madison County, AL compare with the U.S. for optometrists and eye clinics?
Madison County has 4.2 optometrists and eye clinics per 10,000 households, 2% above the U.S. rate of 4.1. Spending per practice is $2.9M, 8% below the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, Madison County would have about 63, against 69 on map listings. There is one business with payroll in the industry for every 5,157 households, against one for every 5,742 across the U.S. The official count rose 3.2% from 2019 to 2023, against +0.2% for the U.S.
How fast is Madison County, AL growing?
Population estimates put Madison County at 433,516 people in 2025, up 11.0% since 2020, faster than the U.S. (+3.1%). It has 165,031 households. Median household income in Madison County is $86,499, 7% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 32.2%, before inflation.
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. Madison County scores 56 for optometrists and eye clinics (upper middle), #529 of 1,302 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Madison County. 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.
How the score works · Top markets for optometrists and eye clinics · All 56 business types in Madison County
Screening a site or an acquisition in Madison County?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of Madison County. Signed out, you see a blurred preview; on an account, each report is one action.
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.