Optometrist Salary in University City, MO: $124,209 (2026)

While the salary figures may appear competitive, the local cost-of-living index stands at 89.6, suggesting that the purchasing power for optometrists in University City could be more favorable than in many other regions. This index indicates that living expenses are below the national average, allowing for potentially higher disposable incomes despite the salary lag relative to the national standards. Among local employers, private optometry practices, particularly those with ownership opportunities, likely offer the highest pay, especially for those with residency training in ocular disease or experience in OD/MD collaborative settings. The variability in pay can be attributed to factors such as practice ownership equity, the operational framework of private versus retail settings, and the specifics of employment agreements in practices that have transitioned to private equity ownership. Optometrists seeking to maximize their pay in University City may consider pursuing board certifications or residency programs while also exploring options for practice ownership, as these attributes can significantly enhance earning potential in this evolving market.