Optometrist.
Philadelphia.
$140,000
median salary, 9% above the national average
$118,000 to $172,000. Updated for 2026.
The numbers.
Everything you need to negotiate with confidence.
Philadelphia is 9% more expensive than the national average. For Optometrists, that shakes out to a median of $140,000, with the full range spanning $118,000 to $172,000. Practice ownership versus employment is the largest income differentiator for optometrists. Know the range before you walk in.
Salary range
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How Philadelphia compares
Philadelphia, PA
$140,000
Cost of living: 9% above average
National Average
$128,000
Philadelphia is $12,000 above
What you should know
The Optometrist landscape in Philadelphia is not what most salary sites will tell you. Philadelphia combines a robust healthcare and life sciences sector with established finance and higher education institutions. The city's pharmaceutical corridor is among the strongest in the country. Tech growth has accelerated, particularly in health tech and enterprise software, offering salaries that stretch further than in nearby New York. 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 Philadelphia, cost of living sits near the national average, so the numbers you see are roughly what you keep.
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: pennsylvania has a flat 3.07% state income tax, but Philadelphia adds a 3.75% city wage tax for residents. This combined local burden is worth factoring into salary negotiations. When someone quotes you $140,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Account for the Philadelphia wage tax in your ask. Request a 5 to 8% premium over suburban offers to offset the city's local tax on all earned income. The range for Optometrists in Philadelphia runs from $118,000 to $172,000. 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 Philadelphia
Negotiating in Philadelphia
Account for the Philadelphia wage tax in your ask. Request a 5 to 8% premium over suburban offers to offset the city's local tax on all earned income.