2025 wasn't business as usual in optometry M&A.

Fewer buyers, more deal scrutiny, softer multiples, and a growing number of practice owners asking the same question: "Is my practice worth what I think it's worth?"

That's why this episode is perfectly timed for the start of 2026.

Eugene is joined by Anne Kavanagh (Founder & Managing Director) and Jason Preator (Managing Partner) from Kavanagh Consulting, two people who have seen more optometry practice transactions than almost anyone in the industry over the last decade. Their perspective is based on real deals, real outcomes, and patterns that repeat year after year.

Anne and Jason explain how the buyer landscape has evolved, who is actively acquiring practices right now, and how buyers are evaluating risk, structure, and long-term profitability.

Going from one location to two sounds exciting… until it's not.

The truth is, scaling a practice brings on a completely different level of complexity than just more patients or an increase in revenue; it's new operational pressure points, and a whole new set of problems that don't show up until you're already in motion.

In this listener-requested episode of Power Hour, host Eugene Shatsman speaks with two highly qualified professionals (Dr. Susan Lake, Optometrist at Eyecare Specialties, and Kevin Whaley-Stefany, Business Consultant at Autograph Eye LLC) who actually built and scaled multiple practices, and what it takes to succeed and scale in today's market.

In this episode of Power Hour, Eugene Shatsman sits down with Gary Gerber to explore why growth stalls when practices run on autopilot — and how revisiting the basics can unlock revenue, efficiency, and sustainability without adding complexity.

operationally, and financially—is where most practices struggle.

A Problem Most Practices Recognize

Many practices invest in advanced technology with good intentions—better care, differentiation, growth. Yet months later, the equipment is used inconsistently, reserved for rare cases, or quietly avoided because it disrupts flow.

Dr. Brujic explains why this happens so often:

• Doctors buy equipment to be "cutting edge" without first identifying a real gap in care or existing patient demand.
• Workflow isn't designed to support consistent use
• Teams aren't aligned on when or why to use it

The result is frustration—for clinicians, staff, and patients.

When close rates stall around 30–40%, most teams blame price. What if the real issue is what happens after the appointment?

Myopia management is no longer "up-and-coming." It's here, and it's big. In this episode of Power Hour, Eugene sits down with Matt Oerding, CEO & Founder of Treehouse Eyes, to unpack a market Matt describes as a untapped opportunity, and the uncomfortable reality behind it: even though a large share of optometrists say they offer myopia management, only ~4–5% of eligible kids are actually receiving treatment.

Matt explains that the myopia "adoption gap" isn't due to a lack of treatment options, but by execution: how consistently practices recommend, how the message is framed, and what happens after the parent says, "Let me think about it."

What if cutting your staff dramatically could increase your profit margins by up to 30% with capture rates being at 78%?

This week on Power Hour, Eugene sits down with Dr. Lauretta Justin, Founder of Optometry Divas and creator of The CEO of You, to unpack a transformation that starts with burnout and ends with clarity, profit, and purpose.

After running a full-scope practice with a team of ten, Lauretta hit a point many ODs know too well: she was successful on paper… and exhausted in reality. So, she decided what most people would never consider: she simplified everything.

Fewer staff. Cleaner pricing. Tighter systems. More intentional leadership.

The result?

A 30% increase in net profit, a 20% jump in net cash flow, and a practice that finally supports the life she wants, not the other way around.

What if the biggest shift in your practice this year doesn't come from a new piece of equipment, a new hire, or a new plan — but from the way you train your brain to notice joy?

In this episode of Power Hour, host Eugene Shatsman is joined by Allegra Cohen (TEDx speaker, author, and Chief Joy Officer of BRAVE LIFE) for a conversation that blends neuroscience, leadership, and everyday happiness in a way that's deeply relevant to optometrists and practice leaders.

Eugene first encountered Allegra's work when they shared a TEDx stage; he watched her talk sitting next to his daughter, and both were completely drawn in by Allegra's message about micro joys, resilience, and how you can literally train your brain to notice more of what you want in life. That experience led to this episode — an opportunity to bring that same shift in perspective to the Power Hour audience.