I operate a huge "vision therapy-only" practice on the border of San Jose/Campbell in California.  As the senior doctor, I have been in vision therapy practice for over 36 years.  Most of these years has been in "vision therapy only" mode.  For the past decade, I have had a volume in the range of 35-40 visits a day.  

We now have two doctors, seeing 40 vision therapy visits a day, with emphasis on therapy for visual processing issues that mimic conditions such as dyslexia, ADHD, or high functioning autism.  The past four years has been spent on training my son, who recently passed his FCOVD.  It will take a total of five years of post-graduate to prepare him to function independently with a practice of this size.  It will probably take a 6-8 years of training a talented new doctor to a similar level of skill. We are doing innovative work with gifted children who have low visual processing speed or peripheral visual information processing.

We are NOT a practice that provides high volume therapy that is delegated to assistants.  Our model is that the majority of therapy should be provided by the doctors, with a smaller amount provided by therapy assisants (with direct supervision of the doctor in the same room).

We have some patients with strabismus/amblyopia.  Minimal post-TBI or brain injured neuro-optometric rehabilitation.  We don not do any contact lenses fittings, dispensing, or routine yearly vsion examinations.

We open a second office in the north part of Santa Clara county on December 12 2016. This practice is already booked with 15 visits an afternoon, three days a week.  Realistically, we cannot see more patients than that without hiring and training more doctors to do high quality vision therapy.

Based on our referral base, we project 30% gross in Year 1 and Year 2, limited only by our staffing., We expect the the practice to double is size in the next three years and evolve into a 5-doctor vision therapy only" practice, seeing 70-90 VT visits a day.