Groundwork

Health care · County · Missouri

Optometrists and eye clinics in St. Louis County, MO

How St. Louis County, MO 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 46 out of 100: Lower middle

Ranked #777 of 1,302 scored counties
#21 of 32 scored counties in Missouri

Listings
228
58 chain locations (25%)
Official establishments
90
+12.5% since 2019
Household spending a year
$637.9M
On medical and dental services · $1,541 a household
Spending per listing
$2.8M
11% below the U.S.
Listings per 10k households
5.5
34% above the U.S.
Population, 2025
990,911
−1.2% since 2020

See the optometrists and eye clinics around any address in St. Louis 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 St. Louis County. Signed out, you see a blurred preview; on an account, each report is one action.

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

What this means

Map listings as of September 2026 show 228 optometrists and eye clinics in St. Louis County. 58 of them (25%) are chain locations, against 20% across the U.S. Per 10,000 households, that is 5.5, 34% above the U.S. rate of 4.1.

Household spending on medical and dental services in St. Louis County comes to about $637.9M a year: $1,541 per household, 20% above the U.S. average. That is about $2.8M of household spending for each practice on map listings, 11% 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 St. Louis County was 90 in 2023, up 12.5% from 2019. That is one for every 4,598 households, against one for every 5,742 across the U.S. Since fiscal 2022, 1 SBA-backed loan worth $577K has gone to businesses classed as offices of optometrists in St. Louis County.

Between 2020 and 2025, the population of St. Louis County declined 1.2%, against +3.1% for the U.S. The Groundwork market score for optometrists and eye clinics in St. Louis County is 46 (lower middle), #777 of 1,302 scored counties and #21 of 32 scored counties in Missouri.

How St. Louis County compares

The same measures for Missouri 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.

Optometrists and eye care in St. Louis County, MO compared with Missouri and the U.S.
MeasureSt. Louis CountyMissouriU.S.
Listings per 10k households5.53.74.1
Spending per listing$2.8M$3.8M$3.1M
Households per official establishment4,5985,8745,742
Official establishment growth, 2019–2023+12.5%+7.3%+0.2%
Population growth, 2020–2025−1.2%+1.9%+3.1%
Spending per household on medical and dental services$1,541$1,389$1,288
Median household income$82,936$70,702$80,734
Groundwork market score4665

Official counts and lending

Businesses

Official establishments, 2019 to 2023
80 → 90+12.5% over the period
Employees, 2023
634
Annual payroll, 2023
$30M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
22858 chain locations
Listings at the U.S. rate for this spending
204The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
1
Amount
$577K

SBA-backed loans to businesses classed as offices of optometrists in St. Louis 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 St. Louis County

Population, 2025 estimate
990,911−1.2% since 2020
Households
413,849
Median age
41.2
Homes lived in by their owners
69%
Vehicles per household
1.7
Land area
509 sq. mi.
People per square mile
1,958
Median household income
$82,936+23.0% vs. 2015–2019, before inflation
Average household income
$123,036
Median home value
$276,800
Jobs located here
655,776
Daytime population
1,175,839Residents who don’t work, plus everyone whose job is here

Looking at a specific site in St. Louis 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 St. Louis County. Signed out, you see a blurred preview; on an account, each report is one action.

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Optometrists and eye care across Missouri

Every Missouri market ranked →

The highest-scoring counties in Missouri for optometrists and eye clinics, numbered among those based in Missouri, with St. Louis County marked.

Top counties in Missouri

Counties in Missouri ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Christian County, MO8972.0$7.3M+8.3%#6 of 1,302
2Platte County, MO85163.6$4.4M+6.7%#16 of 1,302
3Cass County, MO84122.8$5.4M+7.1%#18 of 1,302
4Warren County, MO8453.6$4M+9.2%#24 of 1,302
5Newton County, MO8352.3$5.9M+6.1%#28 of 1,302
6Clay County, MO81373.6$4.2M+4.3%#47 of 1,302
7Greene County, MO79362.7$4.7M+3.3%#65 of 1,302
8Jefferson County, MO76293.3$4.4M+2.7%#113 of 1,302
9Jackson County, MO741043.4$4M+2.1%#139 of 1,302
10Cole County, MO71103.2$4.4M+1.7%#182 of 1,302
21St. Louis County, MO462285.5$2.8M−1.2%#777 of 1,302

Other business types in St. Louis County

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many optometrists and eye clinics are in St. Louis County, MO?

There are 228 optometrists and eye clinics on map listings in St. Louis County as of September 2026. 58 of them (25%) are chain locations. The listings count optometrists and eye clinics. Official counts show 90 businesses with payroll classed as offices of optometrists in 2023, up 12.5% from 2019.

How much do households in St. Louis County, MO spend on medical and dental services?

About $637.9M a year, or $1,541 per household. That is 20% above the U.S. average (an index of 120, where 100 is the U.S. average). Spread across the 228 optometrists and eye clinics on map listings, it comes to $2.8M 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 413,849 households in St. Louis County and national spending patterns by income.

How does St. Louis County, MO compare with the U.S. for optometrists and eye clinics?

St. Louis County has 5.5 optometrists and eye clinics per 10,000 households, 34% above the U.S. rate of 4.1. Spending per practice is $2.8M, 11% below the U.S. figure of $3.1M. At the national ratio of optometrists and eye clinics to household spending, St. Louis County would have about 204, against 228 on map listings. There is one business with payroll in the industry for every 4,598 households, against one for every 5,742 across the U.S. The official count rose 12.5% from 2019 to 2023, against +0.2% for the U.S.

How fast is St. Louis County, MO growing?

Population estimates put St. Louis County at 990,911 people in 2025, down 1.2% since 2020, against +3.1% for the U.S. It has 413,849 households. The median household income in St. Louis County is $82,936 a year, 3% above the U.S. median of $80,734. That rose 23.0% from the 2015–2019 survey, 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. St. Louis County scores 46 for optometrists and eye clinics (lower middle), #777 of 1,302 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in St. Louis 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 St. Louis County

Screening a site or an acquisition in St. Louis 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 St. Louis 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.