Most optometry websites we audit have one thing in common: a booking integration that quietly broke six weeks ago, and nobody noticed until a patient called to complain. The site was 'up' so the maintenance plan called it a win. We define uptime differently — your website is online when it's actively booking exams, not just when the homepage loads.
Optometry websites have a unique vulnerability: the booking integration. It's third-party (Solutionreach, Demandforce, EyeCarePro, Calendly), it depends on plugins that update independently, and when it breaks the website still loads fine — patients just can't book. Most maintenance plans don't monitor the booking flow as a separate service; we do. Daily synthetic-test bookings, automatic alerts on failure, fix-first response.
Beyond that: HIPAA-aware support practices for any patient data your forms collect, performance monitoring that keeps Core Web Vitals green (which directly affects local rankings), and ongoing edits handled by a senior developer — not a help-desk script.
See client outcomesDaily synthetic booking tests, real-time uptime, weekly performance review. We catch the break before patients do.
We know how Solutionreach, Demandforce, EyeCarePro work — and how they break. We've fixed each integration enough times to anticipate failure modes.
We don't claim to be a HIPAA compliance partner — but our practices align with HIPAA-aware support: signed BAAs available, patient data handling protocols, audit trails on every change.
Five disciplines run as one program. Most agencies do 2–3; the cheap plans skip 4. Here's what each discipline covers — and what changes between Protect, Manage, and Optimize.
Plugin and core updates are the #1 cause of optometry-website outages — usually because a plugin update silently breaks the booking integration. We test every update on a staging copy before applying to production, monitor the booking flow for 24 hours after every push, and roll back instantly if anything fails.
Most optometry maintenance plans install a free security plugin and call it done. We layer real protection: file integrity monitoring, malware scanning, brute-force protection, vulnerability database alerts, and a hardened hosting profile. HIPAA-aware practices apply to anything touching patient data.
Most sites get slower over time as content accumulates and plugins compound — and slower sites tank local SEO rankings. Premium and Enterprise plans include active performance tuning: Core Web Vitals monitored, image compression automated, slow queries identified, plugin overhead audited.
If you're running paid ads to landing pages, those pages need ongoing attention. Plugin updates can break form submissions. CMS changes can shift layouts. Tracking pixels can stop firing. Premium and Enterprise plans include monthly landing-page health checks — every active page, every form, every conversion event.
Real changes to your site, made by a senior developer — text updates, image swaps, new pages, form modifications, plugin configuration. Not 'we'll talk to support about it.' We track hours transparently in a shared dashboard. Hours don't roll over month to month.
Audit-first onboarding. We won't take a maintenance contract on a site we haven't reviewed — too many landmines.
Free site audit before signing. Security, performance, plugin risk, booking-flow integrity, HIPAA exposure. Output: a written audit report.
Week 1If the audit surfaces critical issues — broken integrations, plugin conflicts, security gaps — we quote the cleanup separately before starting the plan.
Weeks 1–2Plan goes live. Daily booking-flow checks, weekly updates tested in staging, monthly health report.
Month 1+Quarterly performance review, plugin pruning, content/SEO refresh, security re-audit. The site gets better, not worse.
Month 4+Three reasons that come up in every reference call.
Median time from alert to threat neutralized. Industry average: 5+ hours. Cheap plans: 'we'll get to it.'
Senior teamWe monitor the booking integration as a distinct service — not just whether the homepage loads. Most maintenance plans miss this.
Optometry-specificSigned BAAs available, audit trails, patient-data handling protocols. We're not a HIPAA compliance partner — but our practices align.
Healthcare-readyThree tiers, plus Custom. Same shape across every industry we serve. Flat fees, month-to-month, cancel anytime. Most growing optometry practices choose Premium at $299/mo.
Real maintenance for established practices — uptime, security, and the edits the front desk would otherwise chase a freelancer for.
Active maintenance + deeper edits for practices running paid spend or active SEO.
Active CRO + performance optimization for high-spend, traffic-heavy practices.
Multi-site dashboards, dedicated pod, and SLA-backed enterprise support.
If your question isn't here, send it directly — we reply in writing within one business day.
No — about 75% of our optometry maintenance clients are sites we didn't originally build. Onboarding starts with a free audit so we can see what we're inheriting. If the site is a complete mess (rare but real), we'll quote a one-time cleanup before starting the plan or recommend you not bother.
WordPress (with custom themes or page builders), WooCommerce, Webflow, Shopify, custom Node.js or Next.js sites, and most static-site setups. We don't maintain Wix, Squarespace, or proprietary practice-management website platforms because we can't actually intervene at the code level.
Real changes to your site, made by a senior developer — text updates, image swaps, new pages, form modifications, plugin configuration. We track hours transparently in a shared dashboard. Hours don't roll over. Bigger projects (a new section, a redesign, a migration) are quoted separately.
Cleanup is covered on Premium and Enterprise plans. On Essential, we'll quote the cleanup separately (usually $400–$1,500 depending on severity), with the option to upgrade for ongoing protection. The bigger value is prevention — Premium and Enterprise security features make actual compromises rare.
We're not a HIPAA compliance partner — that requires legal and operational compliance work that goes beyond website maintenance. But our maintenance practices align with HIPAA-aware support: BAAs available, patient-data handling protocols, audit trails on every change. If your practice has full HIPAA compliance requirements, we work alongside your compliance officer rather than in place of one.
We don't host — that's a different business. We work with your existing hosting (or recommend a host if you need one) and manage maintenance on top. Most optometry clients are on WP Engine, Kinsta, or Cloudways. If your hosting is part of the problem, we'll tell you on the audit and recommend a switch — with migration handled by us if you want.
Yes — 30 days notice, period. No long-term contracts, no buyout fees. Most maintenance clients stay 24+ months because the value is real. If you do leave, we provide a clean handover — credentials, documentation, and a written summary of recent maintenance work for the next team.
A sampling of recent engagements that match this work.
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.
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 Melbourne psychology clinic combined Google Ads + SEO to fix flat enquiries — 8K monthly impressions, 17% organic lift, and 55% of conversions from organic search in 6 months.