Optometrist Hourly Pay in Fresno, CA: $67.69 (2026)
Quick Answer:Hourly pay for a optometrist working in Fresno, CA runs $67.69 at the median for 2026 — annualizing to $140,777 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1041). Weighted against Fresno's regional price level (BEA RPP 102.2, 2% above national), each hour of work buys what $66.26 nationally would. A 24-hour part-time schedule grosses $84,472 per year.
Official BLS data · View source

Fresno's optometrists enjoy a competitive median hourly rate of $67.69, slightly above the national median of $67.60. This compensation level is particularly appealing for those considering part-time roles, such as working three days a week, where they can earn a meaningful income in varying practice settings—from private optometry offices to retail chains like LensCrafters and Visionworks or even VA outpatient clinics. For entry-level optometrists, the rate typically starts at approximately $49.87 per hour, and seasoned professionals can earn as much as $105.20, creating a diverse earning landscape within the city. This hourly data is rooted in projections based on 2025 BLS OEWS data, reflecting the evolving demand for optometric services in Fresno and the surrounding areas.
Optometrist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $49.87 | $398.99 |
| Lower Range (P25) | $54.31 | $434.49 |
| Median (P50) | $67.69 | $541.49 |
| Upper Range (P75) | $88.06 | $704.49 |
| Top Earners (P90) | $105.20 | $841.64 |
Estimated Annual Income by Work Schedule in Fresno
Based on $67.69/hr median hourly rate · 2026 est.
At $67.69/hr, a optometrist working full-time (40 hr/wk) in Fresno, CA can expect to earn approximately $140,787 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $81,223. With a cost-of-living index of 102.16 (above the national average), these earnings may be offset by higher expenses in Fresno.
Hourly Rate Calculator
Schedule Comparison in Fresno
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,707.44 | $11,732 | $140,787 |
| Part-Time (24 hrs) | $1,624.46 | $7,039 | $84,472 |
| Per Diem (16 hrs) | $1,082.97 | $4,693 | $56,315 |
Compare OD Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Optometrist (Fresno) | $67.69 |
| Dentist, General (National Avg) | $79.54 |
| Pharmacist (National Avg) | $66.51 |
| Opticians, Dispensing (National Avg) | $21.11 |
| Physician Assistant (National Avg) | $64.13 |
Optometrists in Fresno, CA earn a median of $140,777 per year (2026 est.), which is 0.12% higher than the national median of $140,612 and 1.00% above the California state average of $139,383.
Optometrist Hourly Pay vs. Cost of Living
Working 24h/week at $67.69/hr = $84,472/year (purchasing power: $82,688).
Working 40h/week (full-time) = $140,787/year (purchasing power: $137,813).
CoL index: 102.158 (100 = national average).
2019 BLS Actual
$55.25/hr
2025 BLS Actual
$65.74/hr
2026 Current Est.
$67.69/hr
2019–2027 Growth
+26.1%
Hourly Rate Trajectory for Optometrists in Fresno (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $55.25/hr | Actual |
| 2020 | $53.82/hr | Actual |
| 2021 | $48.71/hr | Actual |
| 2022 | $60.63/hr | Actual |
| 2023 | $63.35/hr | Actual |
| 2024 | $62.14/hr | Actual |
| 2025 | $65.74/hr | Actual |
| 2026(current) | $67.69/hr | Estimated |
| 2027 | $69.69/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for optometrists in Fresno grew 19.0% from $55.25/hr (2019) to $65.74/hr (2025). At a 2.96% projected growth rate, hourly pay is expected to reach $69.69/hr by 2027. Part-time and per-diem optometrists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fresno metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.96% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Optometrist in Fresno
Examining the hourly earning potential further reveals interesting dynamics for part-time optometrists. Those working a typical 24-hour week can expect to see substantial annual take-home pay, although significantly less than their full-time counterparts. For per-diem or agency optometrists, the earnings can vary greatly depending on location and type of care provided; typical rates range from $500 to $800 per day at retail chains, while private OD/MD practices can command per diem rates from $700 to $1,200. In addition, residency-trained optometrists focusing on ocular diseases in hospital settings typically earn between $90 and $130 per hour. Compensation often reflects the employer type, as private practices might offer different benefits compared to large optical chains or hospital systems. Optometrists in Fresno should weigh the trade-off between hourly pay and the benefits of stable employment; for example, positions with health insurance may offer lower hourly pay but greater long-term stability. Those negotiating pay rates should maintain clear communication about their licensing, experience, and any unique skills, especially in light of the expanding scope of practice, such as glaucoma management and oral medications, that can enhance their value in the market.
More salary data for Fresno, CA:
Frequently Asked Questions
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Written by Aisha Patel, OD
Career Analyst
Aisha Patel has 10 years of experience in optometry. She specializes in pediatric vision care. Aisha works in a private practice setting.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.96% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for optometrists in Fresno. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.96%, derived from historical BLS wage trends for optometrists (SOC 29-1041).
Compiled and verified by Aisha Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov