Groundwork

Market rankings · South Dakota

Optometrists and eye clinics in South Dakota

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

Listings
199
43 chain locations (22%)
Official establishments
115
+5.5% since 2019
Household spending a year
$512.6M
On medical and dental services
Listings per 10k households
5.4
32% above the U.S.
Spending per listing
$2.6M
18% below the U.S.
Rank among states
#44 of 51
Market score 33 · Lower middle

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

South Dakota has 199 optometrists and eye clinics on map listings as of September 2026. 43 of them (22%) are chain locations, against 20% across the U.S. Per 10,000 households, that is 5.4, 32% above the U.S. rate of 4.1.

Households in South Dakota spend about $512.6M a year on medical and dental services, or $1,402 per household, 9% above the U.S. average. Spread across 199 optometrists and eye clinics, that is $2.6M per practice, 18% below the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.

In 2023, official counts showed 115 businesses with payroll in South Dakota classed as offices of optometrists, up 5.5% from 2019. That is one for every 3,179 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, 1 SBA-backed loan worth $591K has gone to businesses classed as offices of optometrists in South Dakota.

Among the 50 states and DC, South Dakota ranks #44 for optometrists and eye clinics, with a Groundwork market score of 33 (lower middle). Of the 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest (45). Of the 6 scored small-town markets in or partly in South Dakota, the Aberdeen area scores highest (73).

Every market in South Dakota for optometrists and eye clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in South Dakota, 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 South Dakota, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Sioux Falls, SD-MN45705.7$2.6M+9.5%#254 of 386
2Rapid City, SD40355.6$2.5M+6.2%#285 of 386
Sioux City, IA-NE-SD37264.7$3M+1.0%#298 of 386

Small-town markets

Small-town markets reaching South Dakota, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Aberdeen, SD7352.8$4.9M−1.5%#39 of 400
2Mitchell, SD4854.6$2.9M+0.6%#224 of 400
3Brookings, SD4885.8$2.3M+9.6%#228 of 400
4Yankton, SD4677.2$1.9M+1.5%#244 of 400
5Spearfish, SD4397.5$1.8M+14.0%#264 of 400
6Watertown, SD331713.6$982K+4.3%#328 of 400
Pierre, SDNot scored33.5$4.1M−0.5%
Huron, SDNot scored22.7$5M+2.4%
Vermillion, SDNot scored47.2$1.8M+0.2%

Counties

Counties in South Dakota, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Brown County, SD6153.1$4.5M−1.7%#388 of 1,302
2Minnehaha County, SD57465.4$2.7M+7.6%#502 of 1,302
3Lincoln County, SD44227.9$2M+17.5%#830 of 1,302
4Brookings County, SD4285.8$2.3M+9.6%#877 of 1,302
5Pennington County, SD39337.1$2M+6.6%#938 of 1,302
6Lawrence County, SD3897.5$1.8M+14.0%#955 of 1,302
7Yankton County, SD3777.2$1.9M+1.5%#977 of 1,302
8Union County, SD32912.3$1.3M+3.3%#1,063 of 1,302
9Davison County, SD3055.6$2.3M+0.6%#1,088 of 1,302
10Codington County, SD291713.6$982K+4.3%#1,108 of 1,302
Meade County, SDNot scored10.8$16.9M+2.7%
Beadle County, SDNot scored22.7$5M+2.4%
Hughes County, SDNot scored34.1$3.5M−0.9%
Clay County, SDNot scored47.2$1.8M+0.2%
Oglala Lakota County, SDNot scored13.4$3.1M−2.3%
Lake County, SDNot scored24.2$3.3M−0.2%
Butte County, SDNot scored24.6$3M+5.5%
Roberts County, SDNot scored00.0n/a−0.1%
Charles Mix County, SDNot scored26.6$2M−0.5%
Todd County, SDNot scored00.0n/a−4.9%
Custer County, SDNot scored12.2$6.4M+13.2%
Turner County, SDNot scored00.0n/a+7.3%
Grant County, SDNot scored26.6$2M0.0%
Hutchinson County, SDNot scored26.9$2.1M−0.1%
Fall River County, SDNot scored12.8$4.7M+7.1%
Show all 66 counties
Counties in South Dakota, ranked for optometrists and eye clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Bon Homme County, SDNot scored14.1$3.1M+3.8%
Moody County, SDNot scored00.0n/a+4.5%
Hamlin County, SDNot scored00.0n/a+11.9%
Spink County, SDNot scored14.0$3.4M−3.0%
McCook County, SDNot scored14.5$3.3M+5.2%
Tripp County, SDNot scored00.0n/a+1.8%
Day County, SDNot scored28.4$1.6M+0.8%
Brule County, SDNot scored15.1$2.7M+0.5%
Walworth County, SDNot scored14.1$3.1M−1.4%
Kingsbury County, SDNot scored00.0n/a+1.6%
Dewey County, SDNot scored211.8$1M+3.8%
Marshall County, SDNot scored16.1$2.4M+2.9%
Deuel County, SDNot scored00.0n/a+2.6%
Edmunds County, SDNot scored00.0n/a+1.0%
Gregory County, SDNot scored00.0n/a+1.1%
Clark County, SDNot scored00.0n/a+4.7%
Corson County, SDNot scored00.0n/a−2.8%
Lyman County, SDNot scored00.0n/a−0.1%
Hanson County, SDNot scored00.0n/a−0.3%
Bennett County, SDNot scored00.0n/a−2.6%
Hand County, SDNot scored17.1$1.9M−0.7%
Stanley County, SDNot scored00.0n/a+1.8%
Perkins County, SDNot scored00.0n/a+0.9%
Douglas County, SDNot scored00.0n/a+1.9%
Jackson County, SDNot scored00.0n/a−4.7%
Aurora County, SDNot scored00.0n/a+2.6%
Potter County, SDNot scored19.4$1.5M−3.8%
Sanborn County, SDNot scored00.0n/a+2.5%
Ziebach County, SDNot scored00.0n/a−0.1%
Miner County, SDNot scored00.0n/a−0.8%
McPherson County, SDNot scored221.9$625K−2.2%
Faulk County, SDNot scored00.0n/a+2.4%
Mellette County, SDNot scored00.0n/a+11.5%
Buffalo County, SDNot scored00.0n/a−6.8%
Jerauld County, SDNot scored00.0n/a+0.6%
Haakon County, SDNot scored114.6$943K−3.6%
Campbell County, SDNot scored00.0n/a−0.1%
Sully County, SDNot scored00.0n/a+1.9%
Hyde County, SDNot scored00.0n/a−4.6%
Harding County, SDNot scored00.0n/a+2.2%
Jones County, SDNot scored00.0n/a−1.5%

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 South Dakota?

Map listings as of September 2026 show 199 optometrists and eye clinics in South Dakota. 43 of them (22%) are chain locations. The listings count optometrists and eye clinics. Official counts show 115 businesses with payroll classed as offices of optometrists in 2023, up 5.5% from 2019.

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

About $512.6M a year, or $1,402 per household. That is 9% above the U.S. average (an index of 109, where 100 is the U.S. average). Spread across the 199 optometrists and eye clinics on map listings, it comes to $2.6M 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 365,544 households in South Dakota and national spending patterns by income.

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

South Dakota has 5.4 optometrists and eye clinics per 10,000 households, 32% above the U.S. rate of 4.1. Spending per practice is $2.6M, 18% below the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, South Dakota would have about 164, against 199 on map listings. There is one business with payroll in the industry for every 3,179 households, against one for every 5,742 across the U.S. The official count rose 5.5% from 2019 to 2023, against +0.2% for the U.S.

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

Among 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest, at 45 (lower middle). Among 6 scored small-town markets in or partly in South Dakota, the Aberdeen area scores highest, at 73 (upper middle). Among 10 scored counties in South Dakota, Brown County scores highest, at 61 (upper middle). 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. South Dakota scores 33 for optometrists and eye clinics (lower middle), #44 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 South Dakota. 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 South Dakota

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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.