Blue Grid Media runs Google Ads and Local Services Ads for optometry practices across the US: exclusive leads from an account in your name, from $445 a month, month to month.
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The FTC's Eyeglass Rule requires eye doctors to give patients a copy of their prescription whether they ask for it or not, and before offering to sell them glasses. The patient can take it anywhere, and online retailers are counting on that. So the frame is not what an independent practice can advertise against the internet. The exam is, along with everything medical that a website cannot do. The account that works is built on those.
Independent practices tend to describe the same squeeze from four directions. Each one points to what the practice should be advertising instead.
I do the exam, hand over the prescription, and watch the patient photograph it and leave.
The law requires you to hand it over, and they are entitled to use it anywhere. You cannot advertise your way around that. You can advertise what the retailer cannot do: the exam itself, contact lens fitting, dry eye care, a child's first glasses fitted in person.
We advertised a frame sale and it brought people who already had a prescription from somewhere else.
A frame promotion puts you in a price comparison with companies built to win it. An exam campaign brings a patient who has to sit in your chair, and who is then in your optical with a fresh prescription and someone to fit it.
The first thing every caller asks is whether we take their vision plan.
Then the ad should answer it. Plan acceptance is the first filter patients apply, and they search for it by name. Saying which plans you take, in the ad and at the top of the page, removes the call that was never going to book.
I treat dry eye and manage myopia in children, and nobody in town knows it.
Because they are searched by symptom and by a parent's worry, not by the word optometrist. Medical eye care is the part of the practice with the least competition and often the best margin. Each service gets its own campaign and its own page.
The FTC's guidance states that the rule requires eye doctors, both ophthalmologists and optometrists, 'to give patients a copy of their prescription, whether they ask for it or not and before offering to sell eyeglasses.' It must be given 'immediately after completing any refractive eye examination.'
The same guidance notes that if a patient wants to buy glasses online, they will need their pupillary distance, and encourages practices that take the measurement to provide it. In other words, the regulator expects some of your patients to buy elsewhere, and has arranged for them to be able to.
That settles what an ad should sell. Not the frame, which the patient can price in thirty seconds on a phone. The exam, which they cannot get from a website, and the fitting, adjustment and aftercare that come with buying from the person who examined them.
A refraction and an eye health check, in a chair, by a licensed doctor. Nothing online replaces it, and it is where every patient relationship starts.
Handed over before you offer to sell anything. Some will use it elsewhere. Advertising cannot change that.
Sold on fit, lens advice and service to a patient who is already there. The ad got them into the chair. The optician keeps them.
An account built on glasses and frames competes with national retailers on their best ground. An account built on exams and medical eye care competes with the handful of practices in your area that have thought to advertise them, which is usually very few.
Dry eye treatment, myopia management for children, contact lens fitting for difficult eyes, diabetic eye exams and urgent red-eye visits are all searched by people who need a doctor. Several are billed to health insurance rather than a vision plan. Google treats health conditions as a sensitive category, so the campaigns run on search intent and location, without remarketing lists.
Eye exam, children's eye exam, contact lens exam, each with the plans you accept in the ad.
Dry eye, myopia management, diabetic eye care, urgent visits. Low competition and a patient who needs a doctor.
Product and price shoppers click and compare. They are not looking for an appointment.
An appointment made, matched to the click. Calls and forms are steps toward it.
No optometry cost per lead is published in the benchmarks we use, so the nearest category is shown and labelled. The rest is what each channel reaches.
| Channel | Who it reaches | What it costs you | Where it falls down |
|---|---|---|---|
| Local Services Ads, Optometrist | The patient searching eye doctor or optometrist near them | Per lead, above the map pack | Google says booking leads and pre-badge ads are not available for health care verticals |
| Google Ads, exam and plan terms | The patient who needs an exam and wants to know you take their plan | Per click; LocaliQ puts Physicians and Surgeons at $40.04 a lead | An ad that does not name the plans gets the call that asks, then hangs up |
| Google Ads, medical eye care | Dry eye, myopia, diabetic and urgent searches | Per click, in an auction with very few local bidders | Mixed into one campaign with exams, it never gets a budget of its own |
| Google Ads, frames and glasses | The product shopper | Per click, against national retailers | You are compared on price with companies built to win that comparison |
| Vision plan directories | Members looking for an in-network provider | Your plan participation | Sends patients, and sets what you are paid for seeing them |
| Online retailers | Your own patients, after the exam | Nothing directly | The Eyeglass Rule exists so they can. Fit and service are the answer, not an ad |
Category status and the health care notes read from Google's list on 5 October 2026. The lead cost is the LocaliQ and WordStream 2026 Physicians and Surgeons average, not an optometry figure.
The Eyeglass Rule quotations are from the FTC's guidance, Complying with the Eyeglass Rule, read at ftc.gov on 5 October 2026. Google's US Local Services Ads list carries Optometrist as a national category. The seven categories restricted to California and Florida are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio. The audience restriction is from Google's Health in personalized advertising policy.
No optometry cost per lead, exam fee, capture rate or share of eyewear bought online, because we could not verify one from a primary source. Nothing here is legal advice about the Eyeglass Rule or the Contact Lens Rule. The FTC's guidance is the document to read.
A routine exam, a child's first glasses and a dry eye evaluation are three different visits, and only one of them ends with a frame the patient could buy somewhere else. Each line below is its own campaign, built on what cannot be ordered online.
The core search, and the one thing in the practice that cannot be shipped in a box.
An exam with a fitting attached. The lenses may be bought elsewhere afterward, and the fitting cannot.
Searched by a parent before the school year. Seasonal, and the start of a patient who returns for years.
Medical, searched by the symptom, and usually outside what a vision plan covers. Underadvertised in most markets.
A program for children, searched by parents who have read about it. Specific and rarely advertised.
Medical eye care, often billed to health insurance rather than a vision plan. Its own page and its own campaign.
A red eye, a scratch, sudden flashes. Searched urgently, and most patients do not know an optometrist can see them.
Frames and lenses. Sold to the patient in the chair, after the prescription has been handed over, on fit and service.
It puts an independent practice into a price fight with online retailers. The exam and the medical services are where you have no such competitor.
It is the first question every caller asks. Leaving it out pays for the click and the call, and books neither.
Google treats health conditions as a sensitive category. Remarketing lists and customer match are not available to an eye care practice, whatever the proposal says.
Google lists Optometrist among its US Local Services Ads categories, and it is not one of the seven restricted to California and Florida, which are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio. Local Services Ads charge per lead rather than per click and sit above the map pack. Google states on the same page that booking leads and pre-badge ads are not available for health care verticals, so a listing goes live only after every licence and screening check has passed, and leads arrive as calls and messages. Read from Google's own category list on 5 October 2026.
These are the terms optometrists and practice owners use when they look for marketing help, from Google Keyword Planner for the United States. It is a small audience at low competition, which means few agencies are writing for it.
| Search term | Monthly searches | Competition |
|---|---|---|
| optometry marketing | 170 | Low |
| optometry digital marketing | 40 | Low |
| eye care advertising | 30 | Low |
| optometry marketing services | 30 | Low |
| optometry marketing agency | 30 | Low |
| eye care marketing | 20 | Medium |
| digital marketing for optometrists | 20 | Low |
| optometrist advertising ideas | 20 | Low |
| optometry seo | 0 | Unknown |
| google ads for optometrists | 0 | Unknown |
| optometry practice marketing | 0 | Unknown |
| optometry lead generation | 0 | Unknown |
Run on 5 October 2026, United States, English. Around 360 searches a month across the distinct groups, from Keyword Planner on 5 October 2026, at $6 to $26 a click. Every measurable term but one is low competition. Few agencies are writing for optometrists, which is part of why this page exists.
$445 a month for Local Services Ads management. From $695 for Google Ads. $995 for both. No setup fee, no contract, month to month. Ad spend is billed by Google straight to you and we never take a percentage of it. Custom landing pages for your campaigns are included at no charge.
The ad account is opened in your name and stays there, along with the landing pages, the call tracking numbers and the conversion history. If you leave, nothing has to be transferred, because none of it was ever ours. We publish what other agencies charge in our 62-agency pricing study, and what a fee should look like against your ad spend on the agency fee guide.
Blue Grid Media is an optometry marketing agency that runs Google Ads and Google Local Services Ads for optometrists and independent eye care practices across the United States, publishes its pricing at $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both, works month to month with no contract and no setup fee, and opens every optometry ad account in the practice's own name so the leads are exclusive rather than shared.
Blue Grid Media provides exclusive optometry patient leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total, generated from a Google Ads and Local Services Ads account held in the client's own name rather than bought from a lead seller and shared, priced at $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both, month to month with no contract and no setup fee.
Yes. Google lists Optometrist among its US Local Services Ads categories, and it is not one of the seven restricted to California and Florida, which are architect, drain expert, home insulation, insurance agency, interior designer, piercing studio and tattoo studio. We read the list on 5 October 2026. The same page says booking leads and pre-badge ads are not available for health care verticals.
The FTC's guidance says the rule requires eye doctors to give patients a copy of their prescription, whether they ask for it or not and before offering to sell eyeglasses, immediately after completing any refractive eye examination. We read it at ftc.gov on 5 October 2026. Nothing on this page is legal advice.
Not on the frame price. The exam, the fitting and medical eye care cannot be ordered from a website, so those are what the ads sell. The optical is then earned in person, on fit and service, with a patient who is already in the practice.
Yes. Whether you take a patient's plan is the first thing they want to know, and many search for it by name. Stating it in the ad and at the top of the page removes the calls that were never going to book.
No optometry benchmark is published in the sources we use. LocaliQ and WordStream's 2026 report puts Physicians and Surgeons at $40.04 a lead, against an all-industry average of $66.69. Your own account replaces that in the first month, and the number to watch is cost per exam booked.
Yes, with no minimum and no contract. One lane and one doctor is the usual shape of the practices this page is written for, and the budget follows the appointment slots you have.
We charge $445 a month for Local Services Ads management, from $695 for Google Ads and $995 for both. No setup fee, no contract, month to month. Ad spend is billed by Google directly to you and we never take a percentage of it. Campaign landing pages are included.
You do. We open it in your name and it stays there, along with the landing pages, the call tracking numbers and the conversion history. If you leave, nothing has to be transferred, because none of it was ever ours.
We do not sell optometry leads and we do not resell them. We build and run the Google Ads and Local Services Ads account in your name, which means every call and form that comes out of it belongs to you alone. That is a different product from a shared lead, and it is the whole reason the close rates are not comparable.
We provide exclusive optometry leads in New York, Los Angeles, Chicago, Houston, Dallas, Miami, Atlanta and Phoenix, and in roughly 50 United States metros in total. Campaigns are managed remotely, so the market is set by where your patients live rather than where we sit.
Not on the list does not mean not covered. We run optometry accounts nationwide across the United States, including smaller and rural markets where the auction is usually cheaper than any metro above.
A patient looking for an eye doctor checks two things: whether you take their plan and when they can be seen. A page that states the plans at the top and books an exam online answers both before they call.
Most contractor searches happen on a phone, so the page is built to load fast there. Faster pages convert more of the clicks you have already paid for.
Every call and form is connected to tracking from day one, so you can see which ads and which pages actually produce booked work rather than just traffic.
On-page SEO and local schema markup so the site earns map and organic visibility over time instead of only working while the ads are switched on.
Bring your exam volume, your capture rate if you track it, and the medical services you offer. Twenty minutes gives you which services have local search demand, how to advertise the plans you accept, and what a booked exam should cost. No charge.
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