Groundwork

Health care · County · Texas

Optometrists and eye clinics in Comal County, TX

How Comal County, TX 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 50 out of 100: Upper middle

Ranked #688 of 1,302 scored counties
#41 of 78 scored counties in Texas

Listings
37
10 chain locations (27%)
Official establishments
18
Businesses with payroll, 2023
Household spending a year
$93M
On medical and dental services · $1,303 a household
Spending per listing
$2.5M
20% below the U.S.
Listings per 10k households
5.2
27% above the U.S.
Population, 2025
209,166
+27.9% since 2020

See the optometrists and eye clinics around any address in Comal 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 Comal 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

Household spending on medical and dental services in Comal County comes to about $93M a year: $1,303 per household, in line with the U.S. average. That works out to $2.5M per practice, 20% 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 37 optometrists and eye clinics on map listings in Comal County as of September 2026. 10 of them (27%) are chain locations, against 20% across the U.S. That is 5.2 per 10,000 households, 27% above the U.S. rate of 4.1.

In 2023, official counts showed 18 businesses with payroll in Comal County classed as offices of optometrists. That is one for every 3,964 households, against one for every 5,742 across the U.S.

Population estimates put the population change in Comal County from 2020 to 2025 at +27.9%, faster than the U.S. (+3.1%). For optometrists and eye clinics, Comal County has a Groundwork market score of 50 (upper middle): #688 of 1,302 scored counties and #41 of 78 scored counties in Texas.

How Comal County compares

The same measures for Texas 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 Comal County, TX compared with Texas and the U.S.
MeasureComal CountyTexasU.S.
Listings per 10k households5.24.54.1
Spending per listing$2.5M$2.6M$3.1M
Households per official establishment3,9645,2025,742
Official establishment growth, 2019–2023n/a+2.7%+0.2%
Population growth, 2020–2025+27.9%+8.5%+3.1%
Spending per household on medical and dental services$1,303$1,164$1,288
Median household income$101,889$78,476$80,734
Groundwork market score5035

Official counts and lending

Businesses

Official establishments, 2019 to 2023
14 → 18
Employees, 2023
168
Annual payroll, 2023
$6.6M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
3710 chain locations
Listings at the U.S. rate for this spending
30The 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 Comal 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 Comal County

Population, 2025 estimate
209,166+27.9% since 2020
Households
71,354
Median age
42.5
Homes lived in by their owners
77%
Vehicles per household
2.0
Land area
560 sq. mi.
People per square mile
329
Median household income
$101,889+27.5% vs. 2015–2019, before inflation
Average household income
$133,953
Median home value
$427,200
Jobs located here
76,984
Daytime population
179,700Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Comal 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 Comal 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 Texas

Every Texas market ranked →

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

Top counties in Texas

Counties in Texas ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Johnson County, TX84152.3$5.1M+20.5%#19 of 1,302
2Guadalupe County, TX84162.4$5M+15.8%#21 of 1,302
3Liberty County, TX8172.2$4.8M+31.3%#45 of 1,302
4Ellis County, TX81233.2$3.9M+24.0%#48 of 1,302
5Kaufman County, TX80132.5$4.7M+42.2%#55 of 1,302
6Bastrop County, TX7961.6$7.3M+21.3%#58 of 1,302
7Parker County, TX78152.7$4.9M+23.5%#79 of 1,302
8San Patricio County, TX7262.4$4.5M+4.7%#160 of 1,302
9Chambers County, TX7174.1$3.2M+22.6%#192 of 1,302
10Harrison County, TX6951.9$5.4M+4.6%#210 of 1,302
41Comal County, TX50375.2$2.5M+27.9%#688 of 1,302

Other business types in Comal County

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

Questions

How many optometrists and eye clinics are in Comal County, TX?

As of September 2026, map listings count 37 optometrists and eye clinics in Comal County. 10 of them (27%) are chain locations. The listings count optometrists and eye clinics. Official counts show 18 businesses with payroll classed as offices of optometrists in 2023.

How much do households in Comal County, TX spend on medical and dental services?

About $93M a year, or $1,303 per household. That is in line with the U.S. average (an index of 101, where 100 is the U.S. average). Spread across the 37 optometrists and eye clinics on map listings, it comes to $2.5M 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 71,354 households in Comal County and national spending patterns by income.

How does Comal County, TX compare with the U.S. for optometrists and eye clinics?

Comal County has 5.2 optometrists and eye clinics per 10,000 households, 27% above the U.S. rate of 4.1. Spending per practice is $2.5M, 20% below the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, Comal County would have about 30, against 37 on map listings. There is one business with payroll in the industry for every 3,964 households, against one for every 5,742 across the U.S.

How fast is Comal County, TX growing?

Population estimates put Comal County at 209,166 people in 2025, up 27.9% since 2020, faster than the U.S. (+3.1%). It has 71,354 households. Median household income in Comal County is $101,889, 26% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 27.5%, 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. Comal County scores 50 for optometrists and eye clinics (upper middle), #688 of 1,302 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Comal 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 Comal County

Screening a site or an acquisition in Comal 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 Comal 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.