Groundwork

Market rankings · Virginia

Optometrists and eye clinics in Virginia

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

Listings
1,367
351 chain locations (26%)
Official establishments
534
−6.6% since 2019
Household spending a year
$4.3B
On medical and dental services
Listings per 10k households
4.1
In line with the U.S.
Spending per listing
$3.1M
In line with the U.S.
Rank among states
#23 of 51
Market score 52 · Upper middle

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

Virginia has 1,367 optometrists and eye clinics on map listings as of September 2026. Of those, 351 are chain locations, or 26%, against 20% across the U.S. That comes to 4.1 for every 10,000 households, in line with the U.S. rate of 4.1.

Household spending on medical and dental services in Virginia comes to about $4.3B a year: $1,264 per household, 2% below the U.S. average. Spread across 1,367 optometrists and eye clinics, that is $3.1M per practice, in line with the U.S. figure of $3.1M. The spending figure covers all medical and dental services, not only optometrists and eye clinics.

The official count of businesses with payroll classed as offices of optometrists in Virginia was 534 in 2023, down 6.6% from 2019. That is one for every 6,303 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, 6 SBA-backed loans worth $2.7M have gone to businesses classed as offices of optometrists in Virginia.

Among the 50 states and DC, Virginia ranks #23 for optometrists and eye clinics, with a Groundwork market score of 52 (upper middle). Of the 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest (68). Of the 3 scored small-town markets in or partly in Virginia, the Danville area scores highest (51).

Every market in Virginia for optometrists and eye clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Virginia, 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 Virginia, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Richmond, VA681753.3$3.7M+5.5%#63 of 386
Washington-Arlington-Alexandria, DC-VA-MD-WV641,0384.4$3.3M+3.3%#88 of 386
2Charlottesville, VA64364.0$3.2M+3.1%#90 of 386
3Harrisonburg, VA56142.8$3.9M+3.5%#129 of 386
4Staunton-Stuarts Draft, VA54163.1$3.5M+3.2%#151 of 386
5Lynchburg, VA54323.1$3.4M+2.9%#154 of 386
6Winchester, VA-WV45274.9$2.4M+6.5%#255 of 386
7Virginia Beach-Chesapeake-Norfolk, VA-NC402874.1$2.9M+0.9%#282 of 386
Kingsport-Bristol, TN-VA38453.4$2.9M+2.3%#295 of 386
8Blacksburg-Christiansburg-Radford, VA30294.1$2.6M−0.1%#337 of 386
9Roanoke, VA30665.0$2.1M+0.4%#340 of 386

Small-town markets

Small-town markets reaching Virginia, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Danville, VA51132.9$3.2M−1.7%#197 of 400
2Martinsville, VA35124.5$2.1M−1.9%#317 of 400
Bluefield, WV-VA20204.9$1.9M−3.8%#376 of 400
Lake of the Woods, VANot scored10.7$18.4M+10.1%

Counties

Counties in Virginia, ranked for optometrists and eye clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Stafford County, VA92122.3$6.6M+8.3%#2 of 1,302
2Fauquier County, VA8472.6$5.6M+4.8%#17 of 1,302
3Richmond city, VA80141.3$8.1M+4.6%#49 of 1,302
4Alexandria city, VA78263.4$4.1M+1.0%#83 of 1,302
5Bedford County, VA7761.8$6.3M+4.4%#87 of 1,302
6Arlington County, VA75454.0$3.8M+2.1%#126 of 1,302
7Spotsylvania County, VA73173.2$4.1M+10.5%#150 of 1,302
8Chesterfield County, VA73443.1$4.1M+8.7%#151 of 1,302
9Loudoun County, VA68704.9$3.5M+6.4%#242 of 1,302
10York County, VA6651.9$7.3M+1.6%#272 of 1,302
11Prince William County, VA66704.5$3.3M+4.2%#288 of 1,302
12Hanover County, VA65204.7$2.9M+5.6%#309 of 1,302
13Albemarle County, VA65235.0$2.7M+5.1%#313 of 1,302
14Suffolk city, VA64164.2$2.9M+10.4%#332 of 1,302
15Franklin County, VA6252.2$4.9M+1.9%#355 of 1,302
16Portsmouth city, VA6192.2$4.5M−1.2%#387 of 1,302
17Augusta County, VA5792.9$3.8M+1.8%#484 of 1,302
18Campbell County, VA5552.2$4.6M+0.1%#543 of 1,302
19Fairfax County, VA492455.9$2.7M+1.7%#709 of 1,302
20Washington County, VA4862.7$3.8M0.0%#723 of 1,302
21Norfolk city, VA47343.6$3M−2.9%#744 of 1,302
22Manassas city, VA4774.9$2.8M+3.9%#748 of 1,302
23Culpeper County, VA4794.8$2.6M+9.3%#751 of 1,302
24Roanoke County, VA46215.3$2.2M+0.2%#784 of 1,302
25Henrico County, VA45654.7$2.6M+2.3%#796 of 1,302
Show all 133 counties
Counties in Virginia, ranked for optometrists and eye clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Gloucester County, VA4574.6$2.6M+3.6%#798 of 1,302
27Newport News city, VA43273.5$3M−1.5%#838 of 1,302
28Falls Church city, VA431320.7$764K+3.3%#856 of 1,302
29Chesapeake city, VA41485.1$2.4M+2.3%#898 of 1,302
30James City County, VA41216.6$2M+6.2%#903 of 1,302
31Hampton city, VA40213.6$2.9M0.0%#906 of 1,302
32Fairfax city, VA371213.1$1.1M+10.8%#979 of 1,302
33Amherst County, VA3653.9$2.6M+2.1%#983 of 1,302
34Virginia Beach city, VA34965.3$2.3M−1.3%#1,022 of 1,302
35Montgomery County, VA34184.9$2.3M−1.2%#1,023 of 1,302
36Waynesboro city, VA3355.1$2M+7.5%#1,043 of 1,302
37Lynchburg city, VA31134.5$2.2M+3.0%#1,074 of 1,302
38Fredericksburg city, VA281613.7$895K+8.6%#1,117 of 1,302
39Petersburg city, VA2764.0$2.3M+1.0%#1,120 of 1,302
40Mecklenburg County, VA2564.4$2.2M+1.5%#1,141 of 1,302
41Roanoke city, VA25266.0$1.6M−0.8%#1,148 of 1,302
42Pulaski County, VA2474.8$2.1M−0.6%#1,154 of 1,302
43Danville city, VA21115.8$1.6M−2.2%#1,199 of 1,302
44Charlottesville city, VA19115.6$2.1M−4.4%#1,208 of 1,302
45Colonial Heights city, VA191621.2$520K+3.2%#1,216 of 1,302
46Wythe County, VA1764.8$2M−1.2%#1,229 of 1,302
47Salem city, VA171211.7$927K+1.7%#1,233 of 1,302
48Wise County, VA1653.6$2.5M−3.5%#1,235 of 1,302
49Martinsville city, VA16814.0$657K+2.8%#1,241 of 1,302
50Winchester city, VA122420.9$497K+1.0%#1,265 of 1,302
51Harrisonburg city, VA8126.9$1.5M−1.7%#1,280 of 1,302
52Tazewell County, VA8138.0$1.2M−4.4%#1,281 of 1,302
53Smyth County, VA486.3$1.5M−3.0%#1,299 of 1,302
Frederick County, VANot scored30.8$15M+8.8%
Rockingham County, VANot scored20.6$18.6M+6.6%
Pittsylvania County, VANot scored20.8$12M−1.5%
Henry County, VANot scored41.9$4.9M−3.1%
Shenandoah County, VANot scored21.1$9.6M+3.6%
Prince George County, VANot scored43.1$3.8M+2.0%
Warren County, VANot scored32.0$6M+4.8%
Louisa County, VANot scored00.0n/a+13.6%
Isle of Wight County, VANot scored10.6$19.3M+6.7%
Orange County, VANot scored10.7$18.4M+10.1%
Botetourt County, VANot scored21.5$7.6M+1.5%
Halifax County, VANot scored32.2$4.3M−1.4%
Accomack County, VANot scored21.4$7.3M+1.4%
Caroline County, VANot scored00.0n/a+11.3%
Powhatan County, VANot scored10.9$15M+7.0%
Carroll County, VANot scored10.8$11.9M+0.5%
Dinwiddie County, VANot scored00.0n/a+3.6%
Fluvanna County, VANot scored11.0$12.7M+6.2%
King George County, VANot scored22.0$6.9M+10.5%
Goochland County, VANot scored00.0n/a+17.4%
Staunton city, VANot scored21.8$5.8M+3.8%
Russell County, VANot scored32.8$3.3M−1.7%
New Kent County, VANot scored11.1$12.7M+21.2%
Page County, VANot scored11.0$9.6M+0.3%
Hopewell city, VANot scored11.1$9M+1.1%
Rockbridge County, VANot scored22.1$5M0.0%
Prince Edward County, VANot scored45.2$1.9M+2.3%
Lee County, VANot scored22.3$3.8M−2.1%
Scott County, VANot scored22.2$4.1M−1.8%
Greene County, VANot scored11.2$9.9M+6.6%
Buchanan County, VANot scored11.3$6.4M−8.7%
Westmoreland County, VANot scored00.0n/a+6.5%
King William County, VANot scored34.1$2.9M+9.5%
Southampton County, VANot scored00.0n/a+0.9%
Patrick County, VANot scored22.6$3.9M−0.9%
Buckingham County, VANot scored00.0n/a+1.9%
Bristol city, VANot scored45.5$1.7M−5.2%
Manassas Park city, VANot scored00.0n/a−3.5%
Radford city, VANot scored00.0n/a+7.0%
Appomattox County, VANot scored34.5$2.3M+6.3%
Giles County, VANot scored11.5$6.9M−1.3%
Brunswick County, VANot scored11.5$6.2M−0.6%
Williamsburg city, VANot scored12.0$5.7M+2.6%
Nottoway County, VANot scored11.8$5.6M+1.0%
Floyd County, VANot scored34.5$2.2M+2.1%
Grayson County, VANot scored00.0n/a−0.3%
Clarke County, VANot scored23.4$3.9M+5.4%
Alleghany County, VANot scored11.6$6.1M−4.2%
Nelson County, VANot scored00.0n/a+1.2%
Madison County, VANot scored00.0n/a+2.7%
Dickenson County, VANot scored11.7$5.2M−6.0%
Amelia County, VANot scored00.0n/a+2.7%
Poquoson city, VANot scored00.0n/a+6.6%
Northumberland County, VANot scored11.8$6.1M+6.1%
Northampton County, VANot scored23.7$2.9M−2.8%
Lunenburg County, VANot scored00.0n/a+0.9%
Charlotte County, VANot scored00.0n/a−1.2%
Greensville County, VANot scored00.0n/a−1.8%
Lancaster County, VANot scored23.5$3.1M+0.9%
Middlesex County, VANot scored00.0n/a+2.2%
Sussex County, VANot scored00.0n/a−0.4%
Essex County, VANot scored49.0$1.1M+0.5%
Cumberland County, VANot scored00.0n/a+6.9%
Richmond County, VANot scored00.0n/a+4.2%
Mathews County, VANot scored12.5$4.5M+0.1%
Franklin city, VANot scored514.5$680K+4.1%
Lexington city, VANot scored313.7$791K+6.2%
Rappahannock County, VANot scored00.0n/a+1.6%
Galax city, VANot scored621.7$432K−0.7%
King and Queen County, VANot scored00.0n/a+2.4%
Charles City County, VANot scored00.0n/a−1.8%
Buena Vista city, VANot scored00.0n/a+0.9%
Surry County, VANot scored00.0n/a+0.8%
Bland County, VANot scored00.0n/a−1.7%
Covington city, VANot scored27.8$1.1M−1.2%
Emporia city, VANot scored00.0n/a−4.4%
Craig County, VANot scored00.0n/a−1.6%
Bath County, VANot scored00.0n/a−2.6%
Norton city, VANot scored16.2$1.4M−5.5%
Highland County, VANot scored00.0n/a+3.4%

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 Virginia?

Map listings as of September 2026 show 1,367 optometrists and eye clinics in Virginia. 351 of them (26%) are chain locations. The listings count optometrists and eye clinics. Official counts show 534 businesses with payroll classed as offices of optometrists in 2023, down 6.6% from 2019.

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

About $4.3B a year, or $1,264 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 1,367 optometrists and eye clinics on map listings, it comes to $3.1M 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 3,365,732 households in Virginia and national spending patterns by income.

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

Virginia has 4.1 optometrists and eye clinics per 10,000 households, in line with the U.S. rate of 4.1. Spending per practice is $3.1M, in line with the U.S. figure of $3.1M. At the U.S. ratio of optometrists and eye clinics to household spending, Virginia would have about 1,358, against 1,367 on map listings. There is one business with payroll in the industry for every 6,303 households, against one for every 5,742 across the U.S. The official count fell 6.6% from 2019 to 2023, against +0.2% for the U.S.

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

Among 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest, at 68 (upper middle). Among 3 scored small-town markets in or partly in Virginia, the Danville area scores highest, at 51 (upper middle). Among 53 scored counties in Virginia, Stafford County scores highest, at 92 (very high). 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. Virginia scores 52 for optometrists and eye clinics (upper middle), #23 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 Virginia. 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

All 51 states

Top markets for optometrists and eye clinics across the U.S. · All business types in Virginia

Screening a site or an acquisition in Virginia?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

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.