Groundwork

Market rankings · Iowa

Optometrists and eye clinics in Iowa

Every metro area, small-town market and county in Iowa, ranked by the Groundwork market score for optometrists and eye clinics, with competitor counts and household spending for each.

Listings
538
117 chain locations (22%)
Official establishments
309
−1.6% since 2019
Household spending a year
$1.9B
On medical and dental services
Listings per 10k households
4.1
In line with the U.S.
Spending per listing
$3.5M
10% above the U.S.
Rank among states
#24 of 51
Market score 51 · Upper middle

A site report maps the optometrists and eye clinics on map listings around any address in Iowa 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

Iowa has 538 optometrists and eye clinics on map listings as of September 2026. 117 of them (22%) are chain locations, against 20% across the U.S. That comes to 4.1 for every 10,000 households, in line with the U.S. rate of 4.1.

Households in Iowa spend about $1.9B a year on medical and dental services, or $1,412 per household, 10% above the U.S. average. That is about $3.5M of household spending for each practice on map listings, 10% above the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.

The official count of businesses with payroll classed as offices of optometrists in Iowa was 309 in 2023, down 1.6% from 2019. That is one for every 4,258 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, 3 SBA-backed loans worth $2.7M have gone to businesses classed as offices of optometrists in Iowa.

Among the 50 states and DC, Iowa ranks #24 for optometrists and eye clinics, with a Groundwork market score of 51 (upper middle). Of the 9 scored metro areas in or partly in Iowa, the Ames metro area scores highest (79). Of the 12 scored small-town markets in or partly in Iowa, the Pella area scores highest (72).

Every market in Iowa for optometrists and eye clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Iowa, 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 Iowa, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Ames, IA79153.0$4.7M+2.2%#13 of 386
2Davenport-Moline-Rock Island, IA-IL69483.0$4.7M−0.9%#49 of 386
Omaha, NE-IA691483.8$4M+4.2%#55 of 386
3Cedar Rapids, IA58453.9$3.7M+1.0%#117 of 386
4Waterloo-Cedar Falls, IA57263.7$3.6M+0.5%#125 of 386
5Des Moines-West Des Moines, IA551465.0$3.1M+6.7%#145 of 386
6Dubuque, IA46174.1$3.4M+0.1%#239 of 386
7Iowa City, IA46354.8$3M+4.1%#242 of 386
8Sioux City, IA-NE-SD37264.7$3M+1.0%#298 of 386

Small-town markets

Small-town markets reaching Iowa, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Pella, IA7253.8$3.8M+2.3%#46 of 400
2Marshalltown, IA7053.2$4.2M−0.5%#57 of 400
3Clinton, IA7073.6$3.8M−0.9%#58 of 400
4Ottumwa, IA6253.6$3.6M−0.3%#110 of 400
5Muscatine, IA5763.5$3.9M−3.0%#142 of 400
6Mason City, IA50135.7$2.4M−1.5%#212 of 400
7Le Mars, IA4065.8$2.5M0.0%#283 of 400
8Carroll, IA3555.7$2.4M−2.0%#314 of 400
9Burlington, IA-IL31115.5$2.3M−2.5%#333 of 400
10Fort Dodge, IA31117.2$1.8M−0.4%#337 of 400
11Fort Madison, IA2785.6$2.3M−3.6%#354 of 400
12Spencer, IA2379.6$1.4M−0.8%#372 of 400
Oskaloosa, IANot scored22.3$5.8M−1.2%
Storm Lake, IANot scored22.7$5.2M−1.7%
Spirit Lake, IANot scored22.3$6.4M+1.7%

Counties

Counties in Iowa, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Story County, IA75143.6$3.9M+2.7%#125 of 1,302
2Warren County, IA6894.4$3.6M+9.0%#237 of 1,302
3Scott County, IA65273.7$3.9M+0.4%#298 of 1,302
4Marshall County, IA6453.2$4.2M−0.5%#317 of 1,302
5Dallas County, IA64225.2$3.3M+17.8%#327 of 1,302
6Marion County, IA6253.8$3.8M+2.3%#365 of 1,302
7Clinton County, IA6273.6$3.8M−0.9%#366 of 1,302
8Polk County, IA591105.4$2.8M+4.8%#454 of 1,302
9Linn County, IA58414.3$3.4M+0.7%#467 of 1,302
10Black Hawk County, IA58224.0$3.3M+0.4%#469 of 1,302
11Wapello County, IA5653.6$3.6M−0.3%#515 of 1,302
12Pottawattamie County, IA56154.0$3.5M−0.7%#517 of 1,302
13Johnson County, IA56314.9$3M+4.6%#527 of 1,302
14Woodbury County, IA53143.4$4M+0.7%#604 of 1,302
15Muscatine County, IA5063.5$3.9M−3.0%#668 of 1,302
16Dubuque County, IA50174.1$3.4M+0.1%#672 of 1,302
17Sioux County, IA3897.1$2.1M+2.5%#954 of 1,302
18Plymouth County, IA3565.8$2.5M0.0%#999 of 1,302
19Cerro Gordo County, IA33136.7$2M−1.5%#1,041 of 1,302
20Carroll County, IA3055.7$2.4M−2.0%#1,085 of 1,302
21Henry County, IA2656.5$2M−5.4%#1,131 of 1,302
22Webster County, IA24117.2$1.8M−0.4%#1,161 of 1,302
23Lee County, IA2385.6$2.3M−3.6%#1,168 of 1,302
24O’Brien County, IA2258.6$1.5M+0.5%#1,184 of 1,302
25Des Moines County, IA21116.4$2M−2.0%#1,193 of 1,302
Show all 99 counties
Counties in Iowa, ranked for optometrists and eye clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Clay County, IA1979.6$1.4M−0.8%#1,214 of 1,302
27Page County, IA1469.6$1.3M−2.3%#1,257 of 1,302
Jasper County, IANot scored21.3$10.2M+0.9%
Boone County, IANot scored10.9$15.9M+0.4%
Benton County, IANot scored11.0$15M+1.8%
Bremer County, IANot scored33.1$4.7M+1.1%
Washington County, IANot scored44.5$3.1M+0.6%
Mahaska County, IANot scored22.3$5.8M−1.2%
Jones County, IANot scored33.7$3.7M+2.9%
Buena Vista County, IANot scored22.7$5.2M−1.7%
Buchanan County, IANot scored22.4$5.7M+1.3%
Winneshiek County, IANot scored11.2$11.4M−1.6%
Jackson County, IANot scored22.4$5.7M−0.8%
Fayette County, IANot scored11.2$10.6M−2.1%
Poweshiek County, IANot scored33.8$3.6M−1.4%
Cedar County, IANot scored22.6$5.4M−0.7%
Dickinson County, IANot scored22.3$6.4M+1.7%
Delaware County, IANot scored34.1$3.4M+1.3%
Clayton County, IANot scored11.3$9.9M−1.1%
Madison County, IANot scored00.0n/a+3.8%
Tama County, IANot scored11.5$8.8M−1.5%
Hardin County, IANot scored22.8$4.5M−2.2%
Iowa County, IANot scored34.3$3.2M−1.0%
Crawford County, IANot scored34.7$2.8M−1.5%
Jefferson County, IANot scored34.3$2.9M−2.5%
Floyd County, IANot scored11.5$8.6M−4.4%
Hamilton County, IANot scored11.6$8.9M−0.5%
Harrison County, IANot scored11.6$8.6M+0.4%
Mills County, IANot scored11.9$8.1M+2.6%
Kossuth County, IANot scored34.6$2.9M−3.2%
Butler County, IANot scored11.7$8M−2.0%
Allamakee County, IANot scored00.0n/a+1.2%
Cass County, IANot scored23.4$3.8M−1.2%
Wright County, IANot scored11.9$7.3M−0.9%
Grundy County, IANot scored12.0$7.5M+0.2%
Appanoose County, IANot scored11.9$6.3M−1.7%
Lyon County, IANot scored36.7$2.1M+3.6%
Union County, IANot scored23.9$3.1M−2.5%
Chickasaw County, IANot scored24.0$3.4M−2.8%
Shelby County, IANot scored48.2$1.7M−0.2%
Cherokee County, IANot scored12.0$7M−2.4%
Guthrie County, IANot scored36.5$2.2M+1.6%
Louisa County, IANot scored00.0n/a−3.7%
Hancock County, IANot scored12.1$6.1M−2.2%
Winnebago County, IANot scored36.5$2M−3.8%
Mitchell County, IANot scored00.0n/a+0.6%
Montgomery County, IANot scored24.4$2.9M−3.2%
Franklin County, IANot scored12.4$5.2M−1.2%
Keokuk County, IANot scored00.0n/a−2.0%
Calhoun County, IANot scored37.5$1.8M−3.4%
Sac County, IANot scored12.3$5.7M−2.7%
Clarke County, IANot scored24.9$2.8M−1.6%
Humboldt County, IANot scored12.4$5.7M−2.0%
Howard County, IANot scored00.0n/a−0.8%
Emmet County, IANot scored12.5$5.1M−2.5%
Davis County, IANot scored00.0n/a+1.3%
Palo Alto County, IANot scored25.3$2.6M−1.0%
Lucas County, IANot scored38.1$1.5M+2.6%
Greene County, IANot scored25.1$2.6M−1.0%
Monona County, IANot scored12.6$5.1M−2.4%
Decatur County, IANot scored00.0n/a−0.9%
Monroe County, IANot scored00.0n/a−2.5%
Adair County, IANot scored00.0n/a−1.3%
Worth County, IANot scored00.0n/a−1.3%
Van Buren County, IANot scored00.0n/a−1.2%
Pocahontas County, IANot scored13.3$3.9M−3.5%
Ida County, IANot scored13.3$3.9M−3.4%
Wayne County, IANot scored00.0n/a+3.6%
Fremont County, IANot scored00.0n/a−0.8%
Osceola County, IANot scored27.6$1.7M−3.6%
Taylor County, IANot scored00.0n/a−0.5%
Audubon County, IANot scored00.0n/a−3.0%
Ringgold County, IANot scored00.0n/a0.0%
Adams County, IANot scored00.0n/a−2.5%

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 Iowa?

Map listings as of September 2026 show 538 optometrists and eye clinics in Iowa. 117 of them (22%) are chain locations. The listings count optometrists and eye clinics. Official counts show 309 businesses with payroll classed as offices of optometrists in 2023, down 1.6% from 2019.

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

About $1.9B a year, or $1,412 per household. That is 10% above the U.S. average (an index of 110, where 100 is the U.S. average). Spread across the 538 optometrists and eye clinics on map listings, it comes to $3.5M 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 1,315,707 households in Iowa and national spending patterns by income.

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

Iowa has 4.1 optometrists and eye clinics per 10,000 households, in line with the U.S. rate of 4.1. Spending per practice is $3.5M, 10% above the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, Iowa would have about 593, against 538 on map listings. There is one business with payroll in the industry for every 4,258 households, against one for every 5,742 across the U.S. The official count fell 1.6% from 2019 to 2023, against +0.2% for the U.S.

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

Among 9 scored metro areas in or partly in Iowa, the Ames metro area scores highest, at 79 (high). Among 12 scored small-town markets in or partly in Iowa, the Pella area scores highest, at 72 (upper middle). Among 27 scored counties in Iowa, Story County scores highest, at 75 (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. Iowa scores 51 for optometrists and eye clinics (upper middle), #24 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 Iowa. 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

All 51 states

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

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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.