Health care · County · Texas
Optometrists and eye clinics in Smith County, TX
How Smith 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 51 out of 100: Upper middle
Ranked #665 of 1,302 scored counties
#39 of 78 scored counties in Texas
- Listings
- 49
- 13 chain locations (27%)
- Official establishments
- 9
- Businesses with payroll, 2023
- Household spending a year
- $92.7M
- On medical and dental services · $1,115 a household
- Spending per listing
- $1.9M
- 40% below the U.S.
- Listings per 10k households
- 5.9
- 44% above the U.S.
- Population, 2025
- 252,549
- +7.8% since 2020
See the optometrists and eye clinics around any address in Smith 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 Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey 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 49 optometrists and eye clinics in Smith County. Chain locations make up 27% of them, against 20% across the U.S. That is 5.9 per 10,000 households, 44% above the U.S. rate of 4.1.
Household spending on medical and dental services in Smith County comes to about $92.7M a year: $1,115 per household, 13% below the U.S. average. Spread across 49 optometrists and eye clinics, that is $1.9M per practice, 40% 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 Smith County was 9 in 2023. That is one for every 9,237 households, against one for every 5,742 across the U.S.
Population estimates put the population change in Smith County from 2020 to 2025 at +7.8%, faster than the U.S. (+3.1%). Smith County scores 51 (upper middle) on the Groundwork market score for optometrists and eye clinics, ranking #665 of 1,302 scored counties and #39 of 78 scored counties in Texas.
How Smith 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.
| Measure | Smith County | Texas | U.S. |
|---|---|---|---|
| Listings per 10k households | 5.9 | 4.5 | 4.1 |
| Spending per listing | $1.9M | $2.6M | $3.1M |
| Households per official establishment | 9,237 | 5,202 | 5,742 |
| Official establishment growth, 2019–2023 | n/a | +2.7% | +0.2% |
| Population growth, 2020–2025 | +7.8% | +8.5% | +3.1% |
| Spending per household on medical and dental services | $1,115 | $1,164 | $1,288 |
| Median household income | $74,192 | $78,476 | $80,734 |
| Groundwork market score | 51 | 35 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 13 → 9
- Employees, 2023
- 84
- Annual payroll, 2023
- $3.6M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 4913 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 Smith 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 Smith County
- Population, 2025 estimate
- 252,549+7.8% since 2020
- Households
- 83,134
- Median age
- 38.3
- Homes lived in by their owners
- 69%
- Vehicles per household
- 1.9
- Land area
- 922 sq. mi.
- People per square mile
- 262
- Median household income
- $74,192+30.6% vs. 2015–2019, before inflation
- Average household income
- $97,956
- Median home value
- $240,700
- Jobs located here
- 111,630
- Daytime population
- 252,433Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Smith 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 Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardOptometrists 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 Smith County marked.
Top counties in Texas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Johnson County, TX | 84 | 15 | 2.3 | $5.1M | +20.5% | #19 of 1,302 |
| 2Guadalupe County, TX | 84 | 16 | 2.4 | $5M | +15.8% | #21 of 1,302 |
| 3Liberty County, TX | 81 | 7 | 2.2 | $4.8M | +31.3% | #45 of 1,302 |
| 4Ellis County, TX | 81 | 23 | 3.2 | $3.9M | +24.0% | #48 of 1,302 |
| 5Kaufman County, TX | 80 | 13 | 2.5 | $4.7M | +42.2% | #55 of 1,302 |
| 6Bastrop County, TX | 79 | 6 | 1.6 | $7.3M | +21.3% | #58 of 1,302 |
| 7Parker County, TX | 78 | 15 | 2.7 | $4.9M | +23.5% | #79 of 1,302 |
| 8San Patricio County, TX | 72 | 6 | 2.4 | $4.5M | +4.7% | #160 of 1,302 |
| 9Chambers County, TX | 71 | 7 | 4.1 | $3.2M | +22.6% | #192 of 1,302 |
| 10Harrison County, TX | 69 | 5 | 1.9 | $5.4M | +4.6% | #210 of 1,302 |
| 39Smith County, TX | 51 | 49 | 5.9 | $1.9M | +7.8% | #665 of 1,302 |
Other business types in Smith County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics30
- Dentists and orthodontists31
- Primary care and pediatrics42
- Urgent care and walk-in clinics
- Chiropractors38
- Physical therapy42
- Optometrists and eye care51
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many optometrists and eye clinics are in Smith County, TX?
There are 49 optometrists and eye clinics on map listings in Smith County as of September 2026. 13 of them (27%) are chain locations. The listings count optometrists and eye clinics. Official counts show 9 businesses with payroll classed as offices of optometrists in 2023.
How much do households in Smith County, TX spend on medical and dental services?
About $92.7M a year, or $1,115 per household. That is 13% below the U.S. average (an index of 87, where 100 is the U.S. average). Spread across the 49 optometrists and eye clinics on map listings, it comes to $1.9M 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 83,134 households in Smith County and national spending patterns by income.
How does Smith County, TX compare with the U.S. for optometrists and eye clinics?
Smith County has 5.9 optometrists and eye clinics per 10,000 households, 44% above the U.S. rate of 4.1. Spending per practice is $1.9M, 40% below the U.S. figure of $3.1M. At the national ratio of optometrists and eye clinics to household spending, Smith County would have about 30, against 49 on map listings. There is one business with payroll in the industry for every 9,237 households, against one for every 5,742 across the U.S.
How fast is Smith County, TX growing?
Population estimates put Smith County at 252,549 people in 2025, up 7.8% since 2020, faster than the U.S. (+3.1%). It has 83,134 households. The median household income in Smith County is $74,192 a year, 8% below the U.S. median of $80,734. That rose 30.6% 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. Smith County scores 51 for optometrists and eye clinics (upper middle), #665 of 1,302 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Smith 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 Smith County
Screening a site or an acquisition in Smith 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 Smith 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.