Optometrist.
Los Angeles.
$151,000
median salary, 18% above the national average
$127,000 to $186,000. Updated for 2026.
The numbers.
Everything you need to negotiate with confidence.
The median Optometrist salary in Los Angeles is $151,000, 18% above the national average. Entry level starts near $127,000. Experienced professionals push past $186,000. Los Angeles blends a thriving entertainment industry with a growing tech and startup ecosystem, often called Silicon Beach. That spread is your negotiation window.
Salary range
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How Los Angeles compares
Los Angeles, CA
$151,000
Cost of living: 18% above average
National Average
$128,000
Los Angeles is $23,000 above
What you should know
If you are interviewing for Optometrist roles in Los Angeles, here is what you are walking into. Los Angeles blends a thriving entertainment industry with a growing tech and startup ecosystem, often called Silicon Beach. The city's diverse economy spans aerospace, healthcare, fashion, and gaming. LA offers strong salaries that, while below San Francisco levels, pair with a broader lifestyle appeal and lower housing costs relative to the Bay Area. Practice ownership versus employment is the largest income differentiator for optometrists. States with expanded scope allowing therapeutic procedures and medical management increase earning potential. Optometrists specializing in ocular disease management, specialty contact lenses, or pediatric vision earn above those in routine refraction-only settings.
New associate optometrists start at $105,000 to $120,000 on base plus production models. Experienced ODs with strong patient loyalty earn $130,000 to $155,000 after five to seven years. Practice owners or partners in multi-doctor practices can reach $170,000 to $250,000 depending on revenue and overhead management. In Los Angeles, those numbers run higher. The cost of living here is 18% above average, and employers adjust to compete.
Base salary is not the full picture. Employed optometrists typically receive production bonuses of 15 to 25% above a base salary guarantee. Benefits include vision and health insurance, CE allowances, malpractice coverage, and optical frame discounts. Practice owners retain higher gross income but manage significant overhead. And on the tax side: california's 13.3% top state income tax rate applies to LA earners as well. There is no city income tax, but the high state rate makes take home pay lower than cities in no income tax states. When someone quotes you $151,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Highlight cross industry skills. LA employers value candidates who bridge entertainment and tech, so framing your experience across verticals can unlock higher offers. The range for Optometrists in Los Angeles runs from $127,000 to $186,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Top industries in Los Angeles
Negotiating in Los Angeles
Highlight cross industry skills. LA employers value candidates who bridge entertainment and tech, so framing your experience across verticals can unlock higher offers.