NAICS 621320 · California overview

Optometry Practices in San Bernardino County

San Bernardino County had 136 Optometry establishments in 2023, ranking 6 of 41 California counties and accounting for 4.9% of the statewide total.

Establishments (2023)
136
Rank 6 of 41 counties
Employees
916
Mid-March employment
Annual payroll
$38M
All establishments
Per 10k residents
0.6
2,224,091 residents

More recent reading

BLS QCEW, 2026Q1

The figures above are County Business Patterns, which carries the size distribution but runs about two years behind. The Bureau of Labor Statistics publishes quarterly, so this is the same industry roughly 3 years later. The two count different universes, Census counts establishments with paid employees in the March pay period and BLS counts worksites covered by unemployment insurance during the quarter, so the numbers are not directly comparable and either can be the larger.

Establishments
130
2026Q1
Employment
754
Quarter-end level
Average weekly wage
$976
Per covered worker
Quarterly trend
+4.0%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

0.90 location quotient. Optometry is about as concentrated in San Bernardino County as it is nationally.

Computed by the Bureau of Labor Statistics, not derived here. Above 1.0 means the industry is a larger share of local employment than of national employment.

Establishments by size

Employee-count distribution for Optometry in San Bernardino County. 22 of 136 establishments (16%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-45641.2%
5-95641.2%
10-192216.2%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net growth of 11.5% since 2020.

YearEstablishmentsChange
2020122n/a
2021119-3
2022134+15
2023136+2

How this market compares

San Bernardino County against every other county in California on the same measure. The median excludes places under 2,000 residents, where per-capita figures are arithmetically true but analytically useless.

Typical0.6 per 10,000 residents, against a state median of 0.6

Close to the state median for this industry. Provision is roughly what the population would predict.

Vs state median
+4%
Businesses per resident
Rank by count
#6
of 41 counties
Rank by density
#19
of 41 ranked
Since 2020
+11%
Change in establishments

Density compares optometry practices provision per resident. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

San Bernardino is more consolidated than California as a whole: fewer micro-operators and a larger share of businesses with real headcount. Fewer targets, but the ones that exist are more likely to be financeable.

Share of establishmentsSan BernardinoCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer41.2%49.3%-8.1%
5 to 49 employeesThe range most individual buyers target57.4%47.9%+9.4%
10 or more employeesPractical floor for acquisition financing16.2%14.2%+2.0%

What acquirers look at

Blends licensed professional services with high-margin retail optical. Retail revenue is transferable to a non-licensed owner in a way the clinical side is not.

Cities in San Bernardino

The figures above cover the county as a whole. These are the places within it.

Other industries in San Bernardino

Sources

  1. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  2. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.