Optometry: The Ultimate O.D. Podcast

Optometry: The Ultimate O.D.

Business EN ↓ 452 episodes

Welcome to The Ultimate O.D. podcast with host, optometrist and practice owner, Dr. Nick Lillie. Join us weekly as Dr. Lillie brings the real talk with hard won wisdom and levity on all things Optometry such as practice management, practice specialties, business tips, and more all from his own personal experience!

Author

Optometry: The Ultimate O.D. Podcast

Category

Business

Podcast website

www.theultimateod.com

Latest episode

Jul 9, 2026

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Episodes

The Identity Crisis Every Growing Practice Owner Faces | E313 09.07.2026

The Identity Crisis Every Growing Practice Owner Faces | E313 Highlights from this episode: The Identity Crisis Every Growing Practice Owner Faces (00:49) Closing Thought: Risk Not, Have Not (19:48) As my practice continues to grow, I’ve realized the hardest part isn’t adding another doctor—it’s letting go of the identity that got me here in the first place. In this episode, I’m sharing the intern...

The CEO's Greatest ROI: Their Thoughts | E312 02.07.2026

The CEO's Greatest ROI: Their Thoughts | E312 Highlights from this episode: The CEO's Greatest ROI: Their Thoughts (01:11) Closing Thought: The story of two monks (24:59) One of the biggest lessons I’ve learned as a practice owner is realizing that my value isn’t measured by how many patients I see—it’s measured by the quality of the decisions I make for the business. In this episode, I’m...

What the Best Mentors Taught Me About Leadership and Life | E311 25.06.2026

What the Best Mentors Taught Me About Leadership and Life | E311 Highlights from this episode: What the Best Mentors Taught Me About Leadership and Life (00:54) Closing Thought: What we're praised for in public, we pay for in private (21:27) Training a new associate has reminded me just how much of who I am today came from the mentors, colleagues, and leaders who invested in me long before I k...

The First Thing I Teach A New Associate (And It’s Not Clinical) | E310 18.06.2026

The First Thing I Teach A New Associate (And It’s Not Clinical) | E310 Highlights from this episode: The First Thing I Teach A New Associate (And It’s Not Clinical) (00:58) Closing Thought: What Only Time Can Teach (15:21) When I’m training a new associate, I’m not starting with dry eye, myopia, or advanced disease management—I’m starting with communication, connection, and the fundamentals that c...

The Leadership Test that Nobody Talks About | E309 11.06.2026

The Leadership Test that Nobody Talks About | E309 Highlights from this episode: The Leadership Test that Nobody Talks About (01:00) Closing Thought: Keep it + Multiply it! (28:02) Hiring an associate taught me something I wasn’t expecting: great leadership isn’t about creating copies of yourself—it’s about helping other people become the best version of themselves. In this episode, I’m sharing wh...

Excellence vs Success: The Mindset Shift That Changes Everything | E308 04.06.2026

Excellence vs Success: The Mindset Shift That Changes Everything | E308 Highlights from this episode: Excellence vs Success: The Mindset Shift That Changes Everything (00:56) Closing Thought: Preparing for a Future (21:30) As practice owners, it’s easy to get obsessed with revenue goals, new technology, and the next big opportunity—but I’ve learned that real growth comes from mastering the fundame...

The “Monster” Mindset: Raising Your Standards in Private Practice | E307 28.05.2026

The “Monster” Mindset: Raising Your Standards in Private Practice | E307 Highlights from this episode: The “Monster” Mindset: Raising Your Standards in Private Practice (00:40) Closing Thought: Be Consistent (22:29) I’ve realized one of the fastest ways to level up your optometry practice is to put yourself in rooms where you’re no longer the best in the room. In this episode, we're talking ab...

Why Growing Your Optometry Practice Feels So Hard (Even When You’re Winning) | E306 21.05.2026

Why Growing Your Optometry Practice Feels So Hard (Even When You’re Winning) | E306 Highlights from this episode: Why Growing Your Optometry Practice Feels So Hard (Even When You’re Winning) (00:48) Closing Thought: The Cost of Winning (21:00) Growing a private practice rarely feels smooth. It feels like constant fires, repeated conversations, and wondering if any of the work is actually paying of...

The Hidden Ceiling in Your Practice: YOU | E305 14.05.2026

The Hidden Ceiling in Your Practice: YOU | E305 Highlights from this episode: The Hidden Ceiling in Your Practice: YOU (01:27) Closing Thought: The Cost of In-Action (25:29) Adding an associate didn’t just grow my optometry practice—it exposed every weak system I was hiding behind as the “Superman” doctor. I realized the biggest bottleneck in my business wasn’t my staff, my patients, or my market…...

You're Not Losing Motivation, You're Losing Chaos: How to Survive the Messy Middle of Practice Gowth | E304 07.05.2026

You're Not Losing Motivation, You're Losing Chaos: How to Survive the Messy Middle of Practice Gowth | E304 Highlights from this episode: You're Not Losing Motivation, You're Losing Chaos: How to Survive the Messy Middle of Practice Growth (00:45) Closing Thought: 3 Characteristics of Great CEOs (19:52) I used to think feeling bored in my practice meant I was losing my edge, but I’...

Conviction vs. Push Back: The CEO Test | E303 30.04.2026

Conviction vs. Push Back: The CEO Test | E303 Highlights from this episode: Conviction vs. Push Back: The CEO Test (01:05) Closing Thought: Which kid are you going to feed? (31:11) In this week's episode, we're talking about what it actually looks like to lead in private practice—especially when you start doing things differently and get hit with pushback from patients, staff, or even othe...

Your Baby Is Ugly: Why Brutally Honest Feedback is a Necessity for Growth | E302 23.04.2026

Your Baby Is Ugly: Why Brutally Honest Feedback is a Necessity for Growth | E302 Highlights from this episode: Your Baby Is Ugly: Why Brutally Honest Feedback is a Necessity for Growth (01:03) Closing Thought: Love where you are (25:29) If I’m being honest, some of my biggest growth hasn’t come from new ideas—it’s come from having the right people tell me when my ideas aren’t that good. In this ep...

Strategic Discomfort vs. Boredom Discomfort: Making the Pain Productive | E301 16.04.2026

Strategic Discomfort vs. Boredom Discomfort: Making the Pain Productive | E301 Highlights from this episode: Strategic Discomfort vs. Boredom Discomfort: Making the Pain Productive (00:45) Closing Thought: Conquering the World (21:48) In this episode, I’m working through something that’s been hitting me hard lately—are we actually building something scalable, or just chasing the feeling of growth?...

Sprint vs Sustain: How Smart ODs Scale Without Burning Out | E300 09.04.2026

Sprint vs Sustain: How Smart ODs Scale Without Burning Out | E300 Highlights from this episode: Sprint vs Sustain: How Smart ODs Scale Without Burning Out (00:58) Closing Thought: The courage of leadership (25:35) In this episode, I challenge you to take a hard look at where you’re at as a practice owner—are you truly progressing, or just coasting and avoiding what matters most? The idea is that s...

Private Practice Growth: Turning a Specialty Into a Revenue Driver| E299 02.04.2026

Private Practice Growth: Turning a Specialty Into a Revenue Driver | E299 Highlights from this episode: Private Practice Growth: Turning a Specialty Into a Revenue Driver (00:50) Closing Thought: Learning to Swim (25:55) I’ve been on this journey of focusing purely on clinical care to really thinking like a CEO, and in this episode I break down how that shift has completely changed the way I appro...

The Secret to Growing Your Optometry Practice: Empower Your Team | E298 26.03.2026

The Secret to Growing Your Optometry Practice: Empower Your Team | E298 Highlights from this episode: The Secret to Growing Your Optometry Practice: Empower Your Team (00:50) Closing Thought: 5 Magnetic Affirmations (20:44) In this week's episode, we're diving into the real shift that has to happen if you want to go from being a great clinician to an extraordinary practice owner. I share t...

Amazing vs. Extraordinary Doctors: The Mindset That Builds a Thriving Practice | E297 19.03.2026

Amazing vs. Extraordinary Doctors: The Mindset That Builds a Thriving Practice | E297 Highlights from this episode: Amazing vs. Extraordinary Doctors: The Mindset That Builds a Thriving Practice (1:00) Closing Thought: The life you want (21:34) In this week's episode, we dive into the difference between being an amazing doctor and becoming an extraordinary one. Early in my career, I thought th...

Stop Being the Hero Doctor: Build a Practice That Runs Without You | E296 12.03.2026

Stop Being the Hero Doctor: Build a Practice That Runs Without You | E296 Highlights from this episode: Stop Being the Hero Doctor: Build a Practice That Runs Without You (00:37) Closing Thought: When the medicine shows up (23:09) In this episode, I’m sharing the mindset shift that’s pushing me from being the hero doctor in my practice to becoming the CEO of a scalable optometry business. I talk a...

Why Talent Isn’t Enough: The CEO Mentality That Builds Profitable Eye Care Practices | E295 05.03.2026

Why Talent Isn’t Enough: The CEO Mentality That Builds Profitable Eye Care Practices | E295 Highlights from this episode: Why Talent Isn’t Enough: The CEO Mentality That Builds Profitable Eye Care Practices (00:53) Closing Thought: If Today Were Your Last Day... (30:11) In this week's episode, we are walking through my journey from being a talent-driven optometrist to thinking like a true CEO...

How to Differentiate Your Optometry Practice in a Crowded Market | E294 26.02.2026

How to Differentiate Your Optometry Practice in a Crowded Market | E294 Highlights from this episode: How to Differentiate Your Optometry Practice in a Crowded Market (00:46) Closing Thought: Living in the Present (24:04) In this episode, I dive deeper into why your elevator pitch matters and how clarity in your vision is the key to building a scalable, successful optometry practice. Refining my m...

The Power of the Elevator Pitch | E293 19.02.2026

The Power of the Elevator Pitch | E293 Highlights from this episode: The Power of the Elevator Pitch (00:38) Closing Thought: Calm during the storm (28:48) In this episode, we are breaking down why every private practice owner needs a clear CEO elevator pitch if they truly want to grow and scale their practice. I share how defining what we DON'T do, articulating our vision, and selling directi...

Failure, Fear, and Growth: A New Way to Think About Running Your Practice | E292 12.02.2026

Failure, Fear, and Growth: A New Way to Think About Running Your Practice | E292 Highlights from this episode: Failure, Fear, and Growth: A New Way to Think About Running Your Practice (01:01) Closing Thought: 4 Life Lessons In this week's episode, I dive into why most “failure” in optometry isn’t financially the way you'd think and how the identity you choose as a practice owner shapes ev...

Rest Isn’t a Reward: The Secret to Sustainable Practice Growth | E291 05.02.2026

Rest Isn’t a Reward: The Secret to Sustainable Practice Growth | E291 Highlights from this episode: Rest Isn’t a Reward: The Secret to Sustainable Practice Growth (01:01) Closing Thought: Embracing Everything (21:20) In this episode, I share the mindset shift that completely changed how I run my practice—from being stuck in the exam room out of guilt to finally stepping into the role of CEO and le...

Spotlight vs Floodlight: Mastering Focus as an Optometry Practice Owner | E290 29.01.2026

Spotlight vs Floodlight: Mastering Focus as an Optometry Practice Owner | E290 Highlights from this episode: Spotlight vs Floodlight: Mastering Focus as an Optometry Practice Owner (00:46) Closing Thought: The Blind Man's Stick In this week's episode, we are breaking down why your attention is the most valuable resource you have as a practice owner and how learning to control it can transf...

Specialty Clinics in Optometry: Lessons from Building a Successful Dry Eye Practice | E289 22.01.2026

Specialty Clinics in Optometry: Lessons from Building a Successful Dry Eye Practice | E289 Highlights from this episode: Specialty Clinics in Optometry: Lessons from Building a Successful Dry Eye Practice (01:09) Closing Thought: Multi-Practice Insights from The Power Hour (24:40) If you’re thinking about starting a specialty clinic, this episode is my honest, no-fluff take on what I’d do differen...

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