Specialty focus · Ophthalmology
Surgical volume, optical dispensary, premium IOL revenue, ASC interests — we value every layer of an eye care practice, because eye care is the specialty we built this firm around.
Ophthalmology is one of our largest engagement categories. Alexey Nechay is a member of the American Society of Ophthalmic Administrators and the American Academy of Ophthalmic Executives, and he has valued everything from solo cataract practices to multi-location surgical groups. Ophthalmologist Dr. Robert Sacks described our work as "extremely thorough" and "a deep dive into my practice's financials, coding and practice history."
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesConfidential, valuation-led brokerage that puts your practice in front of the buyers active in ophthalmology across California.
Brokerage servicesCataract surgical revenue, clinic E&M and diagnostics, and optical dispensary margins each carry different growth, risk, and buyer appetite. We look closely at these factors, because they change what the practice is worth and who the likely buyers are.
Premium IOL upgrades, LASIK, and other cash-pay lines diversify away from Medicare dependence. Buyers pay for that mix, but only when it's documented and durable.
Many ophthalmologists hold surgery center interests worth as much as the practice itself. We value both the practice and the ASC interest. See ASC valuation.
Cataract-heavy practices depend on Medicare rates. Reimbursement trajectory belongs in the income approach.
Retina injection revenue, glaucoma management, and optometrist leverage in clinic each change how durable the earnings are.
OCT, topography, biometry — ophthalmology's asset approach floor is real money, and its replacement cycle affects cash flow.
Private equity has consolidated ophthalmology faster than nearly any specialty, which means many owners hold an unsolicited LOI before they hold a valuation. These offers are built on the platform's own math: EBITDA after a post-close compensation reset, rollover equity, and scaled multiples. Sellers who understand that math do better than sellers who don't. Some owners need a certified valuation to evaluate the offer in hand. Others want a competitive sale process that turns one offer into several. Both start with the same thing: a defensible number for the practice.
Pre-sale valuations and PE offer second opinions; associate ophthalmologist buy-ins (and the optical dispensary question inside them); ASC unit transactions alongside practice deals; divorce and dispute valuations where surgical incomes make goodwill arguments contentious.
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
Get an independent read before you sign the LOI.
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
It should at least be analyzed separately — optical margins, inventory, and staffing behave like retail, not like clinic. Some buyers value it; some PE platforms carve it out. We present it both ways so every buyer conversation prices it explicitly.
They're distinct assets, valued under different dynamics (distribution-based, often minority interests) — but in a sale they're usually negotiated together, and buyers will trade between them. Valuing both with one advisor keeps assumptions consistent and total proceeds visible.
Strong multiples of post-reset EBITDA for scaled, surgically productive practices — but headline numbers mislead because the compensation reset and rollover terms vary deal to deal. We model your specific offer's real economics rather than quoting lore.
Now — that's the ideal runway. A valuation today shows which moves (associate recruitment, optical optimization, ASC positioning) build transferable value before you sell, rather than discovering them during diligence.
ASOA and AAOE member. Trusted by ophthalmologists statewide.
All inquiries are kept strictly confidential.
