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Some practices are built from scratch; others are inherited. While both come with challenges, inheriting a practice brings a unique responsibility: preserving what made it successful while finding the courage to evolve it for the future. In this episode of Power Hour, Eugene sits down with Dr. Luke Small, a third-generation optometrist and Owner of Armstrong & Small Eye Care Centre, one of the oldest optometry practices in Canada, with a history spanning more than 110 years. Luke's grandfather helped shape the profession in its early days. His father expanded the practice into a standalone eye care center and embraced technology long before most practices considered it. Today, Luke is leading the next chapter, modernizing the business through medical eye care, advanced technology, a second location, and a culture-first approach to patient experience. This is a conversation about growth, leadership, and what happens when the doctor everyone wants to see must begin transforming into the CEO the practice needs.
For more than two decades, some of the most important conversations in optometry have happened quietly behind the scenes. Not on stages. Not in public Facebook groups. But inside private discussions where doctors could speak openly with each other about what was really happening inside the profession. That eventually became ODwire. In this episode of Power Hour, Eugene sits down with Dr. Adam Farkas, Founder and Chief Technologist of ODwire and CEwire, to unpack the story behind one of the most influential private communities in optometry. What makes this conversation fascinating is its vantage point. For more than two decades, Adam has had a front row seat to the real conversations happening inside optometry, the ones doctors have with each other when nobody else is in the room. And over time, those conversations have quietly become a reflection of how the profession itself has evolved.
EXCLUSIVE OPPORTUNITY: Be the first to get the book, "The Eyecare BOSS," by Eugene Shatsman & Jamie Rosin → https://eyecareboss.com/ When practice owners are asked about their biggest challenge, the answer is usually the same: People. Because when your team is aligned, accountable, and operating at a high level, growth feels possible. New ideas get implemented. Patients have a better experience. The business moves forward. But when the team is burned out, inconsistent, or resistant to change, even small improvements can feel difficult to execute. That's exactly why People is one of the foundational pillars of the Eyecare BOSS (Business Optimization & Scalability System). In order to scale and optimize a practice, you need the right people in the right seats, operating with clear expectations, shared rules of engagement, and accountability across the organization. The People System is designed to help practices build that structure intentionally — creating systems that consistently develop stronger teams, stronger culture, and better execution over time. Because when culture depends entirely on one or two people holding everything together, growth eventually stalls. This episode is the first in a five-part Eyecare BOSS series, where Jamie Rosin and Eugene break down the systems behind building a more scalable, optimized practice.
More revenue per patient. It's one of the most talked-about goals in private practice right now. But in this episode of Power Hour, Dr. Patricia Poma makes something very clear: You do not get there by chasing every new machine, trend, or specialty that shows up on the market. You get there by building intentionally. That is exactly why the shift toward a specialty-driven practice is starting to get serious attention. Dr. Patricia Poma has built a model that achieves over $1,000 in revenue per patient. By building one specialty at a time until it becomes a "beautiful beast," she has created a practice that is sustainable on its own. Not a boardroom theory. Not just a retail idea. A solution built over two decades in a real private practice. In this week's Power Hour, Dr. Patricia Poma-Nowinski, Owner of Birmingham Vision Care and KOL for Johnson & Johnson Health and Wellness Solutions Inc., breaks down how she built a high-profitability model focused on non-doctor-driven revenue and medical-heavy specialties.
Membership plans are starting to move from an interesting idea to something practices genuinely need to understand. In this episode of Power Hour, host Eugene Shatsman sits down with Cody Tomasik, Founder and CEO of DirectOD, a platform built within real optometry practices to solve the frustrations of vision plans, low reimbursements, and cash-pay patient retention. What makes this conversation critical is the shift it represents: moving away from third-party entities that dictate your revenue flow toward a direct, one-to-one relationship with your patients through customizable benefits. And as Cody explains, when you cut out the middleman, the math becomes incredibly compelling for any practice owner.
364 days of silence, then one automated appointment text. A patient who walks in completely unprepared to purchase. This is the current state of most optometric practices, and according to consumer expert Jeff Fromm, it's a massive missed opportunity. In this week's Power Hour, Eugene Shatsman is joined by Philip Alexander, AI Technologist and CEO of AnswerMyQ, and Jeff Fromm, a 5x author who has written for Forbes since 2014. They dive deep into why the patient journey needs to move from "informed" to "fully customized." But here's the core challenge they present: If you started with a blank sheet of paper, would you really design the experience you have today? Probably not.
187,000,000 views. 1.3 million subscribers. +- 500 long-form videos. And right now, thousands of people are watching his content live. Not a media company. Not a full-time influencer. A doctor. In this week's Power Hour, Dr. Joseph Allen, Founder of Doctor Eye Health, breaks down how he built one of the largest eye care education platforms on YouTube, from zero experience in 2018 to a global audience today with over 1.3 million subscribers. But here's what makes this episode worth your time: It's not about going viral. It's about understanding how content actually works.
In this episode of Power Hour, host Eugene sits down with Dr. Jason Lake, General Manager of PERC & Opti-Port for another Metric of the Quarter, and this one hits differently. Some episodes give you ideas. This one gives you numbers you can't ignore.
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