Off-market deal: 38-year ophthalmology practice with $400K owner earnings

Hey, it’s Ben!

For today’s off-market deal, I found a well-established ophthalmology practice in Connecticut with a 38-year operating history that just hit our radar.

The retiring owner earns $350K-$400K annually and is actively looking for the right buyer to hand the practice off to.

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The Deal Overview

This is a single-physician ophthalmology practice with a loyal patient base built over nearly four decades.

The seller is retiring after a long career and is open to a transition period to ensure continuity for both patients and staff.

The practice operates out of a 2,000 sq ft clinical facility, and the seller owns the building, meaning a long-term lease is available directly from them.

This one came through direct outreach in the Northeast medical community and is not listed anywhere publicly.

The Numbers

Revenue: $900K–$1M annually

Owner earnings: $350K–$400K (inclusive of pension contributions)

Surgical revenue: $300K+ (currently contracted out — capturable by a surgical buyer)

Asking price: ~1.25x earnings

Lease: Available directly from seller-owned building

A buyer who performs cataract and glaucoma procedures could absorb that $300K+ in surgical revenue currently going to a contracted surgeon, which meaningfully changes the economics of this deal.

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Why This Deal Stands Out

38 years of patient loyalty is nearly impossible to replicate.

The practice has essentially no marketing costs, because their reputation does the work for them.

At 1.25x earnings, the valuation is well below what most healthcare businesses trade at.

And with surgical upside still on the table, the right buyer could substantially increase earnings from day one.

Note: This opportunity is best suited for an ophthalmologist or optometrist in the NY/NJ/CT area.

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