Groundwork

Health care · Small-town market · Texas

Optometrists and eye clinics in the Nacogdoches, TX area

Competitor counts, household spending and official business counts for optometrists and eye clinics in the Nacogdoches, TX area, set against other small-town markets and the U.S.

Groundwork market score · out of 100

Score 34 out of 100: Lower middle

Ranked #321 of 400 scored small-town markets
#18 of 21 scored small-town markets based in Texas

Listings
14
4 chain locations (29%)
Official establishments
5
Businesses with payroll, 2023
Household spending a year
$24.5M
On medical and dental services · $967 a household
Spending per listing
$1.7M
44% below the U.S.
Listings per 10k households
5.5
34% above the U.S.
Population, 2025
66,035
+2.2% since 2020

See the optometrists and eye clinics around any address in the Nacogdoches area

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 the Nacogdoches area. 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

The Nacogdoches area scores 34 (lower middle) on the Groundwork market score for optometrists and eye clinics, ranking #321 of 400 scored small-town markets and #18 of 21 scored small-town markets based in Texas. That puts it in the bottom quarter of small-town markets.

At $967 per household (25% below the U.S. average), households in the Nacogdoches area spend about $24.5M a year on medical and dental services. That is about $1.7M of household spending for each practice on map listings, 44% below the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.

The Nacogdoches area has 14 optometrists and eye clinics on map listings as of September 2026. 4 of them (29%) 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.

In 2023, official counts showed 5 businesses with payroll in the Nacogdoches area classed as offices of optometrists. That is one for every 5,060 households, against one for every 5,742 across the U.S. Between 2020 and 2025, the population of the Nacogdoches area grew 2.2%, slower than the U.S. (+3.1%).

How the Nacogdoches area 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 Nacogdoches, TX area compared with Texas and the U.S.
MeasureNacogdoches areaTexasU.S.
Listings per 10k households5.54.54.1
Spending per listing$1.7M$2.6M$3.1M
Households per official establishment5,0605,2025,742
Official establishment growth, 2019–2023n/a+2.7%+0.2%
Population growth, 2020–2025+2.2%+8.5%+3.1%
Spending per household on medical and dental services$967$1,164$1,288
Median household income$53,555$78,476$80,734
Groundwork market score3435

Official counts and lending

Businesses

Official establishments, 2019 to 2023
5
Employees, 2023
98
Annual payroll, 2023
$5.4M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
144 chain locations
Listings at the U.S. rate for this spending
8The 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 the Nacogdoches area, 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 the Nacogdoches area

Population, 2025 estimate
66,035+2.2% since 2020
Households
25,302
Median age
35.3
Homes lived in by their owners
59%
Vehicles per household
1.9
Land area
946 sq. mi.
People per square mile
69
Median household income
$53,555+19.4% vs. 2015–2019, before inflation
Average household income
$77,396
Median home value
$169,200
Jobs located here
22,006
Daytime population
62,663Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Nacogdoches area?

These figures cover the whole small-town market. 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 the Nacogdoches area. 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 small-town markets in Texas for optometrists and eye clinics, numbered among those based in Texas, with the Nacogdoches area marked.

Top small-town markets in Texas

Small-town markets in Texas ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Huntsville, TX7072.7$3.5M+9.5%#59 of 400
2Paris, TX6872.8$3.6M+2.6%#67 of 400
3Jacksonville, TX6752.7$3.7M+5.4%#74 of 400
4Athens, TX64113.3$3.2M+7.5%#95 of 400
5Palestine, TX6252.8$3.5M+3.2%#111 of 400
6Lufkin, TX5992.8$3.6M+1.9%#126 of 400
7Gainesville, TX5774.2$2.7M+6.5%#147 of 400
8Mount Pleasant, TX5483.8$2.6M+2.5%#175 of 400
9Granbury, TX50135.1$2.3M+13.6%#213 of 400
10Bay City, TX4853.2$3.1M+0.5%#223 of 400
18Nacogdoches, TX34145.5$1.7M+2.2%#321 of 400

Other business types in the Nacogdoches area

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

Questions

How many optometrists and eye clinics are in the Nacogdoches, TX area?

Map listings as of September 2026 show 14 optometrists and eye clinics in the Nacogdoches area. 4 of them (29%) are chain locations. The listings count optometrists and eye clinics. Official counts show 5 businesses with payroll classed as offices of optometrists in 2023.

How much do households in the Nacogdoches, TX area spend on medical and dental services?

About $24.5M a year, or $967 per household. That is 25% below the U.S. average (an index of 75, where 100 is the U.S. average). Spread across the 14 optometrists and eye clinics on map listings, it comes to $1.7M 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 25,302 households in the Nacogdoches area and national spending patterns by income.

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

The Nacogdoches area has 5.5 optometrists and eye clinics per 10,000 households, 34% above the U.S. rate of 4.1. Spending per practice is $1.7M, 44% below the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, the Nacogdoches area would have about 8, against 14 on map listings. There is one business with payroll in the industry for every 5,060 households, against one for every 5,742 across the U.S.

How fast is the Nacogdoches, TX area growing?

Population estimates put the Nacogdoches area at 66,035 people in 2025, up 2.2% since 2020, slower than the U.S. (+3.1%). It has 25,302 households. Median household income in the Nacogdoches area is $53,555, 34% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 19.4%, 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. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. 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. The Nacogdoches area scores 34 for optometrists and eye clinics (lower middle), #321 of 400 scored small-town markets.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Nacogdoches area. 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 the Nacogdoches area

Screening a site or an acquisition in the Nacogdoches area?

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 the Nacogdoches area. 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.