Senior Optometrist Salary in Rome, NY: $230,146 (2026)
Quick Answer:The top tier of optometrists working in Rome, NY — those at or above the 90th percentile — pull in $230,146/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1041. Strip back Rome's price premium (BEA RPP 115.9, 16% above national) and that top-decile pay carries the same buying power as $198,573 in average-cost America. The 44% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

For experienced optometrists in Rome, New York, the landscape of senior optometrist pay in 2026 showcases a compelling income potential, highlighted by top earners hitting the impressive mark of $230,146, while those in the 75th percentile earn around $185,333. This distinctive earnings bracket reflects a significant experience premium, with the median annual salary at $159,588 demonstrating the pronounced gap that separates average earners from the highest achievers. Reaching this elite level typically necessitates advanced specialization, residency training in areas like ocular disease or pediatric optometry, and maintaining robust relationships within the local healthcare community. Such qualifications and a commitment to ongoing professional development can position seasoned optometrists for substantial financial rewards, providing them an advantage in this competitive market.
About the Rome Market
Salary estimated from New York average ($150,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Rome
Experienced optometrists at the top of the pay scale in Rome earn between $185,333 and $230,146 per year (2026 est.). This $135,455 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Rome median of $159,588 sits 13.5% above the US median.
Top OD Salary Comparison
| Level | Rome | National |
|---|---|---|
| Median (P50) | $159,588 | $140,612 |
| 75th Percentile | $185,333 | $170,008 |
| 90th Percentile (Top 10%) | $230,146 | $208,165 |
In Rome, experienced optometrists (P90) earn 44.21% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Optometrist Pay in Rome
Advanced Certifications in New York
NY optometrists with additional specialty certifications within the optometry field earn significantly above the $159,588 median. Expanded-scope credentials are increasingly valued by Rome employers.
Specialty Focus
Optometrists focusing on high-acuity or specialty areas within the optometry field in Rome command premium compensation, often reaching the $185,333–$230,146 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Rome metro area often pay above-market rates for experienced optometrists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured optometrists in Rome with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Optometrists in New York who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Optometrist Career & Wage Growth Path in Rome
Clinical Optometrist
0-5 yearsSenior/Lead Optometrist
5-10 yearsOptometrist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedRome ranks #19 of 39 New York cities for top earner optometrist salary (90th percentile: $230,146).
Top 10% optometrist compensation in Rome ($230,146) is 7.9% above the New York average P90 ($213,301).
2019 BLS Actual
$214,597
2025 BLS Actual
$223,530
2026 Current Est.
$230,146
2019–2027 Growth
+10.4%
Salary Trajectory for Optometrists in Rome (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $214,597 | Actual |
| 2020 | $216,487 | Actual |
| 2021 | $212,706 | Actual |
| 2022 | $211,645 | Actual |
| 2023 | $225,653 | Actual |
| 2024 | $245,042 | Actual |
| 2025 | $223,530 | Actual |
| 2026(current) | $230,146 | Estimated |
| 2027 | $236,959 | Projected |
Top-earning optometrists (90th percentile) in Rome saw their compensation grow 4.2% from $214,597 in 2019 to $223,530 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 2.96% annual growth rate, senior-level pay is projected to reach $236,959 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rome 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.
Maximizing Your Optometrist Earnings in Rome
Salaries for senior optometrists in Rome, NY, reveal marked variations depending on their areas of specialization and employer types. Those focusing on ocular disease, cornea and contact lenses, or pediatric optometry often command the highest salaries, capitalizing on their advanced training and expertise. Employment settings further impact compensation; private practices may offer ownership equity and the chance for shared surgical revenue with ophthalmologists, while retail chains like LensCrafters focus on volume but may offer less flexibility in career advancement. As such, seasoned optometrists pursuing leadership roles can explore paths as practice owners, multi-location operators, or faculty in residency programs. Advanced credentials, such as a glaucoma certification or a residency focusing on ocular disease, also enhance earning potential. In this evolving field, non-salary benefits such as practice ownership, residual patient referral income, and flexible employment terms significantly contribute to total compensation, creating a rewarding environment for top optometrists navigating their careers in Rome.
More salary data for Rome, NY:
Frequently Asked Questions
How much do experienced optometrists make in Rome in 2026?
What drives higher optometrist pay in Rome?
What certifications boost optometrist salary in Rome?
Can experienced optometrists make six figures in Rome?
How much does optometrist salary increase over time in Rome?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $223,530 for optometrists in the Rome metro area. A 2.96% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Rome is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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