Industry Guide · 16 of 16 chapters published
An optometry practice sells a yearly exam, glasses, contacts and medical eye care, and it shares the search page with optical chains that sell the exam too. These sixteen chapters build a Google Ads account in the order that works, using real searches, websites and patient reviews from one example market, Chicago. The method works for practices anywhere in the US.
Five steps in the order we build an eye care account. Local numbers come from our example market, Chicago; yours will differ, and the method holds.
Eye care websites carry more buttons for existing patients than for new ones, and the booking often finishes on a scheduling vendor's site. Count only new patients:
Google's customer data rules treat exams and contact lenses as health purchases, so booked exams go back by click ID, with no patient details. Then price the patient by the optical shop and the years: a patient who also buys glasses is worth about $363 in the first year.
For every symptom search, about ten eye care searches are ready to book, so the account starts at the bottom, in what we call the Isolation campaign: exact match, one ad group per visit (a routine exam, a contact lens exam, a child's exam, a medical visit), each on a page that says which kind of eye doctor you are.
Feed Keyword Planner a chain's website and much of what comes back is frames: one retailer's 2,608 ideas included 1,610 designer frame searches. Exam searches nearly double in January, so the budget rises in December, and the ads sell the doctor rather than the discount.
New Search campaigns switch on AI Max, whose text customization can turn a line from your own website into a claim your board limits. It goes off at launch. The location is set to people who can walk in, search partners and Display go off, and the ads run when someone is there to answer the phone.
An Exploration campaign (also our name) takes broad match once the account records about 30 bookings a month, usually in months two or three and sooner for bigger accounts. Performance Max follows around months six or seven, aimed at booked exams, steered by a segment built from the chains' websites, with medical pages out and your patient list kept in the office. Demand Gen runs a summer flight to parents before school exams are due. Local Services Ads and AI Max come later, if at all.
Every plan you take gets its own ad group, and a red eye may bill a vision plan or medical insurance, so the ad names only the plans you accept. Against the chains' bundles, the FTC's Eyeglass Rule says the exam can't depend on buying glasses, so answer with what your exam includes. Medical eye care bids on the condition and names the drug only in the ad: “blepharitis” draws about 201,000 US searches a month.
Building from scratch? Begin at Chapter 1. Each chapter assumes the ones before it are in place.
Count booked exams, not reorders, and know what a patient is worth
Win the searches that book exams, then the long tail
Settings that keep Google from writing claims your state board limits
More reach, once the account knows what a booked exam looks like
Vision plans, optical chains and medical eye care
The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.
Exact match on the searches most likely to book an eye exam, plus your practice and doctor names.
Broad match with a target CPA, once booked exams reach about 30 a month.
Only after months of clean data, aimed at booked exams rather than frame sales.
Video and images that reach parents before the school year and adults before they search.
Pay-per-lead ads in the Optometrist category, and Google's newest automation, fenced in.
Read in order. Tracking and budget come before the first keyword.
Chapter 01 →Check what counts as a conversion and which settings are on. Reorders counted as new patients and auto-written ad text are common leaks.
Chapter 09 →Examples come from Chicago-area practices, described as we found them. Run the same steps in your own market.
Chapter 05 →Running more than one specialty under one roof? Google Ads for Healthcare shows how to run them as one account without one service line starving the rest.
Google Ads for Optometrists
We've run paid ads for 25+ years and seen just about every way a budget goes sideways. Get on the phone with someone who does this every day. Bring your questions, your numbers and your skepticism. You'll hang up knowing what we'd do, whether you hire us or not.
Or see how our Google Ads management works.