PPC is the fastest path from "I need an eye exam" to "I booked one with you." Done well, it produces consistent appointment volume in week one and gets cheaper every quarter as the program tunes. Done by a generalist agency, it burns budget on broad keywords and untracked phone calls. We do it well — flat-fee, senior buyers, exam-attributed reporting.
Most optometry PPC accounts we audit have the same three problems: (1) broad-match keywords burning 30–40% of spend on irrelevant searches, (2) phone calls untracked or misattributed so smart bidding can't optimize, (3) generic landing pages that send traffic to the homepage instead of a service-specific booking funnel. Fix those three and CPL drops 40–60% before we add a single new campaign.
We bill flat-fee, not % of ad spend. Most PPC agencies bill 12–20% of your media budget — which means they make more money the more you spend, regardless of what works. We make the same whether you spend $1,500 or $50,000 a month, so we recommend the budget that fits your practice, not the budget that fits our invoice.
See client outcomesCost-per-booked-exam range across active optometry accounts. Specialty services (dry eye, ortho-K) trend higher.
Radius targeting tuned to your actual patient draw — usually 3–7 miles. National keyword strategies don't work in optometry.
Average buyer has spent $40M+ across categories. The agency is small for a reason — we won't dilute the team.
Five disciplines run as one program. Same buyer on your account in week one as in month twelve.
Every engagement starts with a written campaign strategy: which services to promote, which neighborhoods to target, which audiences to layer, what the offer is, and what the conversion model looks like. No ad goes live until the strategy is signed off — saves you spend, saves us time.
PPC isn't 'launch and let it run.' Every week, our buyers review search terms, adjust bids, kill underperformers, scale winners, test new ad copy, refresh creative. The compounding savings — lower CPL, higher CVR, better Quality Score — are the difference between a profitable program and a budget-burning one.
An ad is only as good as the page it lands on. We design and build dedicated landing pages for high-spend campaigns — your domain, your CMS, your assets. A/B tested every week, tied to the same dashboard tracking ad performance. Most optometry agencies skip this; we don't.
Generic ad copy is a tax on your budget. Our writers research your patients, your local competitors, and your actual sales call recordings. Every ad maps to a buyer-stage problem — "I just got a vision change" reads differently from "my insurance just changed." Static + video creative produced in-house.
Most optometry PPC dashboards lie because the tracking lies. Phone calls go untracked. Booking-widget conversions aren't fed back to Google. The conversion data smart bidding optimizes against is incomplete. We rebuild the tracking from the ground up — server-side events, call tracking, booking-system integration, offline conversion imports.
Same operating cadence on every account. Auditable, time-boxed, dashboard-transparent.
Account audit, tracking audit, competitive review. Output: a written 90-day plan signed off before we spend a dollar.
Weeks 1–2Account restructure, tracking rebuild, landing pages built, creative produced. Approved before launch.
Weeks 2–4Campaigns live by week 5. Weekly creative testing, weekly bid review, monthly strategy session.
Month 2+Once unit economics prove out, scale spend at controlled velocity. Add channels (Meta, LSAs) once core search is saturating.
Month 4+Three reasons that come up in every reference call.
We've spent millions on optometry PPC across 80+ practices. Generalist agencies treat optometry as 'local services' — wrong.
Vertical-nativeWe bill flat. We make the same whether you spend $1,500 or $50,000 — so we recommend the spend that actually works.
No spend conflictAfter the 90-day initial term, we run month-to-month. 30 days notice. Retention is from delivery, not contracts.
Month-to-monthFour monthly retainers. Flat management fees — ad spend billed separately to your account. Most growing optometry practices choose Growth at $799/mo with $1,500–$3,000 monthly ad spend. Minimum 90-day commitment for the data to settle.
Single-channel campaigns for practices new to paid acquisition.
Multi-campaign program for practices ready to scale paid acquisition.
Full-funnel paid program for multi-location practices.
DSO and enterprise paid programs with dedicated team and SLA.
If your question isn't here, send it directly — we reply in writing within one business day.
Because % of spend creates a conflict of interest. The more you spend, the more an agency makes — regardless of return. We bill flat, scaled to account complexity, so we recommend the spend that's right for your practice — not the spend that's right for our invoice.
$1,500/month for single-location optometry, $3,000/month for multi-location. Below those thresholds, smart bidding doesn't have enough conversion data to optimize, and our hourly time on the account exceeds the value we deliver.
Google Ads (Search, Local Service Ads, Performance Max, YouTube), Meta (Facebook + Instagram), Microsoft Ads when ICP fits. We don't usually recommend running every platform from day one — we start with Google search + LSAs and expand as unit economics prove out.
Audit findings: week 1–2. First wins: weeks 4–6 (usually waste reduction, not new lift). Meaningful program lift: month 3+. Compounding CPL improvements: month 6+. Anyone promising '2x bookings in 30 days' is selling restructuring of an already-failing account, not real growth.
Yes — both static and motion. Most clients have brand assets we adapt; some need original photography or video, which we can shoot or commission. The creative scope is in the SOW so there's no surprise. Working from your team's creative is also fine — we just review for performance fit.
We kill it. Then we run a postmortem: was it the offer, the audience, the landing page, the creative, or the keyword set? We rebuild what's worth rebuilding and write off what isn't. Most accounts have 1–2 underperforming campaigns at any time — that's normal. The program-level economics are what matter.
A sampling of recent engagements that match this work.
An independent optometry practice competed with corporate chains via redesigned UX, location-based SEO, and high-intent ads — driving a 135.9% organic traffic surge and 62% more booked exams.
A leading Canberra eye surgeon with no website went from invisible to dominant — 22 top-10 keyword rankings, 120% traffic surge, 40% more patient bookings, and a 35% revenue boost in six months.
A premium Carmichael, CA dental spa replaced an outdated, insecure website with a modern HTTPS site, ranked 75 keywords on page-one in 6 months, and grew patient volume 900% over a multi-year program.