Health care · County · California
Optometrists and eye clinics in Fresno County, CA
How Fresno County, CA compares with other counties and the U.S. for optometrists and eye clinics: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 70 out of 100: Upper middle
Ranked #202 of 1,302 scored counties
#14 of 42 scored counties in California
- Listings
- 109
- 14 chain locations (13%)
- Official establishments
- 39
- −9.3% since 2019
- Household spending a year
- $408.8M
- On medical and dental services · $1,259 a household
- Spending per listing
- $3.8M
- 20% above the U.S.
- Listings per 10k households
- 3.4
- 17% below the U.S.
- Population, 2025
- 1,035,456
- +2.6% since 2020
See the optometrists and eye clinics around any address in Fresno 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 Fresno 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
Household spending on medical and dental services in Fresno County comes to about $408.8M a year: $1,259 per household, 2% below the U.S. average. That is about $3.8M of household spending for each practice on map listings, 20% above the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.
Fresno County has 109 optometrists and eye clinics on map listings as of September 2026. Chain locations make up 13% of them, against 20% across the U.S. That comes to 3.4 for every 10,000 households, 17% below the U.S. rate of 4.1.
Official counts show 39 businesses with payroll classed as offices of optometrists in Fresno County in 2023, down 9.3% from 2019. That is one for every 8,326 households, against one for every 5,742 across the U.S.
Between 2020 and 2025, the population of Fresno County grew 2.6%, slower than the U.S. (+3.1%). For optometrists and eye clinics, Fresno County has a Groundwork market score of 70 (upper middle): #202 of 1,302 scored counties and #14 of 42 scored counties in California. That puts it in the top quarter of counties.
How Fresno County compares
The same measures for California 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 | Fresno County | California | U.S. |
|---|---|---|---|
| Listings per 10k households | 3.4 | 4.5 | 4.1 |
| Spending per listing | $3.8M | $3.3M | $3.1M |
| Households per official establishment | 8,326 | 4,914 | 5,742 |
| Official establishment growth, 2019–2023 | −9.3% | −6.0% | +0.2% |
| Population growth, 2020–2025 | +2.6% | −0.4% | +3.1% |
| Spending per household on medical and dental services | $1,259 | $1,464 | $1,288 |
| Median household income | $74,201 | $99,122 | $80,734 |
| Groundwork market score | 70 | 46 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 43 → 39−9.3% over the period
- Employees, 2023
- 287
- Annual payroll, 2023
- $15.1M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 10914 chain locations
- Listings at the U.S. rate for this spending
- 131The 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 Fresno 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 Fresno County
- Population, 2025 estimate
- 1,035,456+2.6% since 2020
- Households
- 324,702
- Median age
- 34.3
- Homes lived in by their owners
- 56%
- Vehicles per household
- 2.0
- Land area
- 5,959 sq. mi.
- People per square mile
- 171
- Median household income
- $74,201+37.5% vs. 2015–2019, before inflation
- Average household income
- $100,641
- Median home value
- $388,800
- Jobs located here
- 413,154
- Daytime population
- 1,017,627Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Fresno 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 Fresno 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 California
Every California market ranked →The highest-scoring counties in California for optometrists and eye clinics, numbered among those based in California, with Fresno County marked.
Top counties in California
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1San Benito County, CA | 93 | 6 | 2.9 | $5.3M | +8.6% | #1 of 1,302 |
| 2San Joaquin County, CA | 87 | 59 | 2.4 | $5.8M | +5.5% | #10 of 1,302 |
| 3Yolo County, CA | 80 | 20 | 2.6 | $5.4M | +3.1% | #52 of 1,302 |
| 4Madera County, CA | 79 | 13 | 2.9 | $4.4M | +7.4% | #68 of 1,302 |
| 5Nevada County, CA | 77 | 10 | 2.3 | $6M | −0.4% | #88 of 1,302 |
| 6Sonoma County, CA | 77 | 56 | 2.9 | $5.1M | −0.4% | #91 of 1,302 |
| 7Calaveras County, CA | 76 | 5 | 2.7 | $4.8M | +2.8% | #111 of 1,302 |
| 8Solano County, CA | 75 | 47 | 3.0 | $4.8M | +0.6% | #119 of 1,302 |
| 9Merced County, CA | 74 | 22 | 2.6 | $4.6M | +5.1% | #132 of 1,302 |
| 10El Dorado County, CA | 71 | 21 | 2.8 | $5.5M | +0.6% | #174 of 1,302 |
| 14Fresno County, CA | 70 | 109 | 3.4 | $3.8M | +2.6% | #202 of 1,302 |
Other business types in Fresno 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 clinics41
- Dentists and orthodontists32
- Primary care and pediatrics49
- Urgent care and walk-in clinics58
- Chiropractors69
- Physical therapy68
- Optometrists and eye care70
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many optometrists and eye clinics are in Fresno County, CA?
Map listings as of September 2026 show 109 optometrists and eye clinics in Fresno County. 14 of them (13%) are chain locations. The listings count optometrists and eye clinics. Official counts show 39 businesses with payroll classed as offices of optometrists in 2023, down 9.3% from 2019.
How much do households in Fresno County, CA spend on medical and dental services?
About $408.8M a year, or $1,259 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 109 optometrists and eye clinics on map listings, it comes to $3.8M 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 324,702 households in Fresno County and national spending patterns by income.
How does Fresno County, CA compare with the U.S. for optometrists and eye clinics?
Fresno County has 3.4 optometrists and eye clinics per 10,000 households, 17% below the U.S. rate of 4.1. Spending per practice is $3.8M, 20% above the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, Fresno County would have about 131, against 109 on map listings. There is one business with payroll in the industry for every 8,326 households, against one for every 5,742 across the U.S. The official count fell 9.3% from 2019 to 2023, against +0.2% for the U.S.
How fast is Fresno County, CA growing?
Population estimates put Fresno County at 1,035,456 people in 2025, up 2.6% since 2020, slower than the U.S. (+3.1%). It has 324,702 households. Median household income in Fresno County is $74,201, 8% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 37.5%, 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. Fresno County scores 70 for optometrists and eye clinics (upper middle), #202 of 1,302 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Fresno 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 Fresno County
Screening a site or an acquisition in Fresno 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 Fresno 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.