Access to Ophthalmologists Increases Significantly from 2014-2024

Access to ophthalmologists in the United States has improved significantly from 2014 to 2024, according to a recent study published in JAMA Ophthalmology. Researchers, led by Peter R. Kastl, M.D., Ph.D., from Tulane University, analyzed travel distances for patients seeking eye care. This comprehensive study utilized data from the Doctors and Clinicians National Downloadable File covering both June 2014 and June 2024.

The findings indicate an increase in the number of optometrists available to patients over the past decade. Although there was a slight decline in the overall number of ophthalmologists, the rise in the number of practices suggests that ophthalmologists are operating in more locations than before. This shift has resulted in a reduction of isolated optometrist practices—those without an ophthalmologist nearby. In 2024, only eighteen truly isolated optometrist practices were identified, located in Hawaii and Alaska.

Improved Access and Reduced Distances

The analysis revealed that the average distance patients must travel from isolated optometrist practices to the nearest ophthalmologist decreased slightly from 12 miles in 2014 to 11 miles in 2024. This reduction underscores the enhanced accessibility to ophthalmologists across the United States. The study highlights a trend toward improved coordination between optometrists and ophthalmologists, leading to better patient outcomes.

Importantly, the authors of the study emphasize that the data do not support the need to expand the privileges of optometrists based on travel distances to ophthalmologists. The research suggests that current access levels are sufficient for patient care, countering arguments for changes in optometric practices.

This study contributes to ongoing discussions about the distribution of healthcare professionals and the accessibility of eye care services. By shedding light on the evolving landscape of ophthalmology and optometry in the United States, it offers valuable insights for policymakers and healthcare providers alike.

For further details, refer to the original study: Peter R. Kastl et al., “Distribution of Ophthalmologists and Optometrists in the US,” JAMA Ophthalmology, 2025. DOI: 10.1001/jamaophthalmol.2025.4495.