Health care · County · Virginia
Optometrists and eye clinics in Smyth County, VA
Competitor counts, household spending and official business counts for optometrists and eye clinics in Smyth County, VA, set against other counties and the U.S.
Groundwork market score · out of 100
Score 4 out of 100: Very low
Ranked #1,299 of 1,302 scored counties
#53 of 53 scored counties in Virginia
- Listings
- 8
- 2 chain locations (25%)
- Official establishments
- n/a
- Fewer than 3, or not published
- Household spending a year
- $11.7M
- On medical and dental services · $926 a household
- Spending per listing
- $1.5M
- 53% below the U.S.
- Listings per 10k households
- 6.3
- 54% above the U.S.
- Population, 2025
- 28,882
- −3.0% since 2020
See the optometrists and eye clinics around any address in Smyth 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 Smyth 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
Smyth County scores 4 (very low) on the Groundwork market score for optometrists and eye clinics, ranking #1,299 of 1,302 scored counties and #53 of 53 scored counties in Virginia. That puts it in the bottom quarter of counties.
Map listings as of September 2026 show 8 optometrists and eye clinics in Smyth County. 2 of them (25%) are chain locations, against 20% across the U.S. That is 6.3 per 10,000 households, 54% above the U.S. rate of 4.1.
Household spending on medical and dental services in Smyth County comes to about $11.7M a year: $926 per household, 28% below the U.S. average. Spread across 8 optometrists and eye clinics, that is $1.5M per practice, 53% 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.
There is no official count of businesses with payroll classed as offices of optometrists in Smyth County: counts under 3 aren’t published. Population estimates put the population change in Smyth County from 2020 to 2025 at −3.0%, against +3.1% for the U.S.
How Smyth County compares
The same measures for Virginia 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 | Smyth County | Virginia | U.S. |
|---|---|---|---|
| Listings per 10k households | 6.3 | 4.1 | 4.1 |
| Spending per listing | $1.5M | $3.1M | $3.1M |
| Households per official establishment | n/a | 6,303 | 5,742 |
| Official establishment growth, 2019–2023 | n/a | −6.6% | +0.2% |
| Population growth, 2020–2025 | −3.0% | +2.8% | +3.1% |
| Spending per household on medical and dental services | $926 | $1,264 | $1,288 |
| Median household income | $49,883 | $93,170 | $80,734 |
| Groundwork market score | 4 | 52 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- n/a
- Employees, 2023
- n/a
- Annual payroll, 2023
- n/a
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 82 chain locations
- Listings at the U.S. rate for this spending
- 4The 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 Smyth 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 Smyth County
- Population, 2025 estimate
- 28,882−3.0% since 2020
- Households
- 12,659
- Median age
- 45.8
- Homes lived in by their owners
- 71%
- Vehicles per household
- 1.9
- Land area
- 451 sq. mi.
- People per square mile
- 65
- Median household income
- $49,883+21.9% vs. 2015–2019, before inflation
- Average household income
- $68,477
- Median home value
- $139,600
- Jobs located here
- 11,597
- Daytime population
- 29,033Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Smyth 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 Smyth 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 Virginia
Every Virginia market ranked →The highest-scoring counties in Virginia for optometrists and eye clinics, numbered among those based in Virginia, with Smyth County marked.
Top counties in Virginia
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Stafford County, VA | 92 | 12 | 2.3 | $6.6M | +8.3% | #2 of 1,302 |
| 2Fauquier County, VA | 84 | 7 | 2.6 | $5.6M | +4.8% | #17 of 1,302 |
| 3Richmond city, VA | 80 | 14 | 1.3 | $8.1M | +4.6% | #49 of 1,302 |
| 4Alexandria city, VA | 78 | 26 | 3.4 | $4.1M | +1.0% | #83 of 1,302 |
| 5Bedford County, VA | 77 | 6 | 1.8 | $6.3M | +4.4% | #87 of 1,302 |
| 6Arlington County, VA | 75 | 45 | 4.0 | $3.8M | +2.1% | #126 of 1,302 |
| 7Spotsylvania County, VA | 73 | 17 | 3.2 | $4.1M | +10.5% | #150 of 1,302 |
| 8Chesterfield County, VA | 73 | 44 | 3.1 | $4.1M | +8.7% | #151 of 1,302 |
| 9Loudoun County, VA | 68 | 70 | 4.9 | $3.5M | +6.4% | #242 of 1,302 |
| 10York County, VA | 66 | 5 | 1.9 | $7.3M | +1.6% | #272 of 1,302 |
| 53Smyth County, VA | 4 | 8 | 6.3 | $1.5M | −3.0% | #1,299 of 1,302 |
Other business types in Smyth 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
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many optometrists and eye clinics are in Smyth County, VA?
There are 8 optometrists and eye clinics on map listings in Smyth County as of September 2026. 2 of them (25%) are chain locations. The listings count optometrists and eye clinics. No official count is published for offices of optometrists in Smyth County: counts under 3 are left out.
How much do households in Smyth County, VA spend on medical and dental services?
About $11.7M a year, or $926 per household. That is 28% below the U.S. average (an index of 72, where 100 is the U.S. average). Spread across the 8 optometrists and eye clinics on map listings, it comes to $1.5M 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 12,659 households in Smyth County and national spending patterns by income.
How does Smyth County, VA compare with the U.S. for optometrists and eye clinics?
Smyth County has 6.3 optometrists and eye clinics per 10,000 households, 54% above the U.S. rate of 4.1. Spending per practice is $1.5M, 53% below the U.S. figure of $3.1M. At the national ratio of optometrists and eye clinics to household spending, Smyth County would have about 4, against 8 on map listings.
How fast is Smyth County, VA growing?
Population estimates put Smyth County at 28,882 people in 2025, down 3.0% since 2020, against +3.1% for the U.S. It has 12,659 households. The median household income in Smyth County is $49,883 a year, 38% below the U.S. median of $80,734. That rose 21.9% 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. Smyth County scores 4 for optometrists and eye clinics (very low), #1,299 of 1,302 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Smyth 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 Smyth County
Screening a site or an acquisition in Smyth 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 Smyth 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.