LOI Template & Guide · Optometry Practice

Letter of Intent Template for Buying an Optometry Practice

A field-tested LOI framework built for eye care acquisitions — covering purchase price, patient base protections, insurance contract continuity, equipment conditions, and seller transition requirements before you spend a dollar on due diligence.

A Letter of Intent (LOI) is the foundational document in any optometry practice acquisition. It signals serious buyer intent, establishes the key commercial terms of the deal, and creates an agreed-upon framework before either party invests heavily in legal fees, due diligence, or lender engagement. In optometry acquisitions, the LOI does more than just name a price — it addresses the unique risks that define eye care transactions: whether the selling optometrist will remain to protect patient relationships, whether managed vision care contracts with plans like VSP and EyeMed are transferable, and whether the diagnostic equipment reflected in the asking price is actually fit for clinical use. A well-drafted LOI for an optometry practice in the $1M–$4M revenue range should take roughly 5–10 business days to negotiate and sign. It typically includes a 60–90 day exclusivity period, is non-binding on all terms except confidentiality and exclusivity, and sets the stage for the asset purchase agreement and SBA financing process that follow. Buyers financing through an SBA 7(a) loan should note that lenders will want to see the executed LOI before issuing a commitment letter — making precision and completeness in this document especially critical.

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LOI Sections for Optometry Practice Acquisitions

Parties and Practice Identification

Identifies the buyer entity, the selling optometrist or practice entity, and the specific practice being acquired — including the legal name under which it operates, its physical location, and any doing-business-as names used in patient communications or insurance credentialing.

Example Language

This Letter of Intent is entered into as of [Date] by and between [Buyer Name or Entity], a [State] [LLC/Corporation] ('Buyer'), and [Seller Name], O.D., and [Practice Legal Name], a [State] [professional corporation/LLC] ('Seller'), with respect to Seller's optometry practice located at [Street Address, City, State, ZIP], operating under the trade name [DBA Name if applicable] ('the Practice').

💡 Confirm whether the seller operates through a professional corporation, a standard LLC, or as a sole proprietor — this has direct implications for state corporate practice of medicine compliance and how the deal must be structured. If the seller has multiple clinic locations, specify which locations are included in this LOI and whether any are excluded.

Transaction Structure

Defines whether the deal is structured as an asset purchase or equity purchase, and enumerates which specific assets are included — typically patient records, optical inventory, equipment, the practice name, phone numbers, website, insurance contracts, and lease rights — while explicitly listing any excluded assets.

Example Language

Buyer proposes to acquire substantially all of the assets of the Practice as an asset purchase, including but not limited to: all patient records and recall files, optical frame and lens inventory, diagnostic and ophthalmic equipment listed on Exhibit A, the practice trade name and associated goodwill, telephone numbers, website, domain names, social media accounts, and all assignable managed vision care and medical insurance contracts. Excluded from this transaction are: [seller's personal vehicle, personal retirement accounts, any real property not separately negotiated, and accounts receivable aged greater than 90 days].

💡 Asset purchases are standard in optometry acquisitions and preferred by buyers for liability insulation. Sellers sometimes push for equity sales for tax efficiency — particularly when personal goodwill is a significant portion of value. Clarify early whether accounts receivable are included or excluded; most SBA lenders will not finance receivables, and excluding them simplifies the deal while reducing disputes about collectability.

Purchase Price and Valuation Basis

States the proposed total purchase price, the valuation methodology used to arrive at it, and how the price may be adjusted based on findings during due diligence — including adjustments for inventory levels, equipment condition, or changes in active patient count.

Example Language

Buyer proposes a total purchase price of $[X] ('Purchase Price'), representing approximately [X]x trailing twelve-month EBITDA of $[X] as represented by Seller. The Purchase Price is based on Seller's representation of approximately [X] active patients, annual revenue of $[X], and the equipment inventory detailed in Exhibit A. The Purchase Price is subject to downward adjustment if: (i) active patient count falls below [X] as verified during due diligence; (ii) any major diagnostic equipment is found to require replacement within 24 months; or (iii) any managed vision care contract representing more than 15% of gross revenue is confirmed non-transferable.

💡 Optometry practices in the lower middle market typically trade at 3x–5.5x EBITDA. Sellers with strong optical dispensary revenue, high private-pay percentages, and modern OCT or digital refraction technology command multiples at the higher end. Always define 'active patient' explicitly — the industry standard is a patient who has visited at least once in the trailing 24 months — and include this definition in the LOI to prevent disputes during due diligence.

Deal Financing Structure

Outlines how the purchase price will be funded, including the anticipated SBA loan amount, buyer equity injection, seller note or earnout, and any contingencies related to financing approval.

Example Language

Buyer intends to finance the acquisition as follows: (i) approximately 80–90% of the Purchase Price through an SBA 7(a) loan issued by [Lender Name or TBD]; (ii) a buyer equity injection of 10–20% from Buyer's personal funds; and (iii) a seller note of $[X] representing [10–15]% of the Purchase Price, subordinated to the SBA lender, bearing interest at [6]% per annum, repayable over [3] years. This LOI and Buyer's obligation to proceed are contingent upon Buyer receiving a conditional SBA loan commitment within [30] days of execution of this LOI.

💡 SBA 7(a) financing is the most common structure for first-time optometry practice buyers at this revenue level. Most SBA lenders require the seller note to be on full standby for the first 24 months of the loan. Sellers should be made aware of this restriction upfront to avoid surprises at closing. If the seller is resistant to a seller note, consider increasing the equity injection or negotiating an earnout tied to retained patient revenue in year one.

Seller Transition and Employment Agreement

Specifies the post-closing role of the selling optometrist, including duration of continued clinical work, compensation structure, scheduling expectations, and any flexibility provisions — critical for patient retention and managed vision care credentialing continuity.

Example Language

As a condition of closing, Seller agrees to enter into a Transition Employment Agreement with Buyer for a minimum period of [24] months post-closing, working no fewer than [3] days per week during the first [12] months and transitioning to a mutually agreed reduced schedule thereafter. Seller's compensation during the transition period shall be $[X] per year or [30]% of collections attributed to Seller's clinical services, whichever is greater. Seller shall actively introduce Buyer to existing patients, participate in patient communication efforts, and cooperate fully in the transfer of insurance credentialing.

💡 The seller transition period is the single most important risk mitigation tool in an optometry acquisition. A seller who departs within 60 days of closing can trigger significant patient attrition — often 20–35% of the patient base. Many managed vision care plans, including VSP, also require the departing OD to remain credentialed and active during a transition window. Push for a minimum 12–24 month commitment. Sellers concerned about loss of freedom can be offered flexible scheduling and reduced hours after month 12.

Non-Compete and Non-Solicitation

Defines the geographic radius and duration of post-sale restrictions preventing the seller from opening or working at a competing optometry practice and from soliciting patients, staff, or insurance relationships.

Example Language

From and after the closing date, Seller agrees not to: (i) own, operate, or provide optometry services at any competing eye care practice within a [10]-mile radius of the Practice for a period of [5] years; (ii) directly or indirectly solicit any patient of the Practice for a competing eye care service for a period of [5] years; or (iii) solicit or hire any staff member employed by the Practice at the time of closing for a period of [3] years. The foregoing restrictions shall be subject to applicable state law and shall be drafted in the definitive Asset Purchase Agreement in a form enforceable under [State] law.

💡 Non-compete enforceability varies significantly by state — some states such as California impose strict limits on enforceability. Engage a healthcare attorney in the practice's state before finalizing these terms. Buyers should also include non-solicitation of insurance contracts and payer relationships, not just patients and employees. Sellers who intend to continue practicing in a non-competing specialty or geography should request carved-out exceptions in advance.

Due Diligence Access and Timeline

Grants the buyer a defined period to review financial records, patient data, insurance contracts, equipment condition, lease terms, staff agreements, and regulatory compliance documentation before being obligated to proceed.

Example Language

Following execution of this LOI, Seller shall grant Buyer and Buyer's advisors reasonable access to the Practice's financial statements for the trailing 3 fiscal years, practice management system data including active patient count and appointment history, all managed vision care and medical insurance contracts and credentialing files, equipment inventory with maintenance records, current lease agreement and any amendments, and all employee agreements and credentialing documentation. Buyer shall have [45] business days from the date of full access to complete due diligence ('Due Diligence Period'). Buyer shall notify Seller in writing of any material findings that affect Buyer's intent to proceed or that may result in a purchase price adjustment.

💡 For optometry practices, the most critical due diligence items are: active patient count validation against the practice management system, insurance contract transferability confirmation with each managed vision care plan, and equipment condition reports. Request an independent equipment appraisal for any diagnostic technology older than 7 years. Also request a payer mix analysis — if any single plan represents more than 25% of revenue, the contract transferability risk is material and should be a deal condition.

Exclusivity and No-Shop Provision

Prevents the seller from soliciting or entertaining competing offers from other buyers during the agreed exclusivity window, giving the buyer a protected period to complete due diligence and secure financing.

Example Language

In consideration of the time and expense Buyer will incur in conducting due diligence and pursuing SBA financing, Seller agrees that for a period of [75] days following execution of this LOI ('Exclusivity Period'), Seller shall not, directly or indirectly, solicit, negotiate, or accept any offer from any third party for the acquisition of the Practice or its assets. Seller shall promptly notify Buyer of any unsolicited inquiries received during the Exclusivity Period. The Exclusivity Period may be extended by mutual written consent if due diligence or financing timelines require additional time.

💡 A 60–90 day exclusivity window is standard for optometry acquisitions in this size range. Sellers may push back on exclusivity without a meaningful earnest money deposit — consider offering a $10,000–$25,000 good faith deposit, refundable upon material misrepresentation by the seller, to secure seller commitment. Avoid agreeing to exclusivity periods shorter than 60 days if SBA financing is involved, as lender processing alone can consume 30–45 days.

Confidentiality

Obligates both parties to maintain strict confidentiality regarding the existence of the transaction, patient information, financial data, and proprietary practice information — both during and after the negotiation period.

Example Language

Each party agrees to hold in strict confidence all information exchanged in connection with this proposed transaction, including but not limited to patient records, financial statements, insurance contract terms, employee compensation, and any information constituting protected health information under HIPAA. Neither party shall disclose the existence or terms of this LOI to any third party without the prior written consent of the other party, except to each party's legal counsel, accountants, and lenders on a need-to-know basis. This confidentiality obligation shall survive termination of this LOI for a period of [3] years.

💡 HIPAA compliance is non-negotiable in optometry transactions. Patient records reviewed during due diligence must be handled under a Business Associate Agreement (BAA) or through a de-identified data process. Engage a healthcare attorney to establish an appropriate due diligence access protocol before any patient data changes hands. Failure to comply with HIPAA during the due diligence process can expose both parties to regulatory liability.

Conditions to Closing

Lists the specific conditions that must be satisfied before the buyer is obligated to close, including financing approval, satisfactory due diligence, lease assignment, insurance contract transfers, and key employee retention.

Example Language

Buyer's obligation to close this transaction is subject to satisfaction of the following conditions: (i) receipt of a fully executed SBA 7(a) loan commitment on terms acceptable to Buyer; (ii) completion of due diligence satisfactory to Buyer in its reasonable discretion; (iii) written confirmation that the practice lease is assignable to Buyer or that a new lease on substantially similar terms has been executed with the landlord; (iv) written confirmation that managed vision care contracts with [VSP, EyeMed, and Spectera] are transferable or that replacement credentialing applications have been approved; (v) retention of at least [X]% of current clinical and optical staff through the closing date; and (vi) no material adverse change in the Practice's revenue, patient count, or operations between the LOI execution date and closing.

💡 Insurance contract transferability is often the most underestimated closing condition in optometry deals. VSP, EyeMed, and Spectera each have distinct credentialing and transfer processes that can take 60–120 days. Initiate these discussions with payers as early as possible in the due diligence period. If a major payer refuses to transfer contracts, negotiate a revenue holdback or price adjustment rather than walking away — in many cases the buyer can re-credential independently within 90 days of closing.

Key Terms to Negotiate

Active Patient Count Definition and Verification

Insist on a precise contractual definition of 'active patient' — typically a patient with at least one clinical visit in the trailing 24 months — and require the seller to provide a practice management system export validating the count before the LOI is signed. A purchase price adjustment mechanism triggered by a shortfall of more than 10% below the represented active patient count protects the buyer against inflated goodwill claims.

Insurance Contract Transferability as a Closing Condition

Any managed vision care or medical insurance contract representing 10% or more of gross revenue should be listed as a named closing condition, with the buyer's obligation to close contingent on confirmed transferability or successful re-credentialing. VSP and EyeMed contracts are frequently non-transferable and require new credentialing applications — negotiate a price holdback of 5–10% if major contracts cannot be transferred prior to closing.

Equipment Condition Disclosure and Replacement Reserve

Require the seller to warrant that all diagnostic equipment listed in the LOI is in good working order and has been maintained per manufacturer specifications. For any equipment over 7 years old or with a replacement cost exceeding $15,000 — such as OCT units, slit lamps, or digital phoropters — negotiate a credit against the purchase price or a seller-funded reserve account to offset anticipated capital expenditure within 36 months of closing.

Seller Note Subordination and Standby Terms

When a seller note is part of the deal structure, negotiate the standby period length and interest accrual terms upfront. SBA lenders typically require the seller note to be on full payment standby for 24 months. Some sellers will accept deferred interest that capitalizes during standby; others require current interest payments. Define these terms in the LOI to avoid conflicts at the definitive agreement stage.

Earnout Mechanics Tied to Patient Retention

If the seller is resistant to a price reduction to reflect transition risk, propose an earnout structure where a portion of the purchase price — typically 5–15% — is paid over 12–24 months post-closing based on verified patient retention or revenue targets. Define the measurement period, the data source (practice management system), and the payment schedule precisely in the LOI to prevent disputes later.

Seller Transition Employment Compensation and Minimum Hours

Negotiate both the minimum weekly clinical hours and the compensation formula for the seller's post-closing transition period explicitly in the LOI. A seller who is paid only on collections may be incentivized to reduce their schedule — set a minimum guaranteed compensation floor and a minimum clinical day requirement for the first 12 months to ensure meaningful patient continuity.

Real Estate — Lease Assignment or Purchase Option

Confirm in the LOI whether the practice real estate is leased or owned and, if leased, obtain written confirmation from the seller that the landlord has been notified of the transaction and that the lease contains an assignment clause. If the seller owns the real estate, decide whether to include it in the acquisition or negotiate a separate long-term NNN lease as part of the transaction. Lease uncertainty is one of the most common deal-killers in optometry acquisitions.

Common LOI Mistakes

  • Failing to define 'active patient' in the LOI and accepting the seller's unverified patient count at face value — inflated active patient numbers are the single most common source of post-closing disputes in optometry acquisitions, and a precise definition with a practice management system data export requirement should be locked in before due diligence begins.
  • Treating insurance contract transferability as a due diligence footnote rather than a binding closing condition — buyers who discover post-signing that VSP or EyeMed contracts cannot be transferred face either walking away after sunk due diligence costs or closing into a significantly impaired revenue stream, both of which are preventable with explicit contract transfer conditions in the LOI.
  • Agreeing to a seller transition period of less than 12 months to accommodate a seller who wants to retire quickly — patient attrition in the first year post-acquisition is directly correlated with seller visibility and engagement, and accepting a 3–6 month transition in exchange for a lower price almost always results in a net value destruction that far exceeds the price concession.
  • Overlooking equipment age and replacement cost when negotiating purchase price — a $1.5M acquisition price that appears fair based on EBITDA multiples may be significantly overpriced if the practice's OCT unit, digital phoropters, and exam lane equipment are 8–10 years old and require $150,000–$250,000 in near-term replacement capital that is not reflected in the EBITDA calculation.
  • Signing an LOI with a 45-day exclusivity window when the deal requires SBA financing — SBA 7(a) loan processing for a medical practice acquisition typically takes 60–90 days from application to commitment, and buyers who accept insufficient exclusivity periods often find themselves renegotiating terms or losing the deal entirely because the seller re-engages other buyers while the lender is still processing the application.

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Frequently Asked Questions

Is an LOI legally binding when buying an optometry practice?

Most LOIs for optometry practice acquisitions are intentionally structured as non-binding on the core commercial terms — purchase price, deal structure, and closing conditions — while making two specific provisions legally binding: the confidentiality obligations and the exclusivity period. This gives both parties a framework to conduct due diligence and negotiate the definitive asset purchase agreement without either side being legally committed to close. However, if a seller relies on your LOI to turn away other buyers and you walk away without cause, there may be common law claims for bad-faith dealing depending on your state. Always have a healthcare M&A attorney review the LOI before signing.

What is a realistic purchase price multiple for an optometry practice in the $1M–$4M revenue range?

Optometry practices in the lower middle market typically trade at 3x–5.5x trailing twelve-month EBITDA. Practices commanding the higher end of this range typically have EBITDA margins above 28%, a diversified insurance mix with meaningful private-pay and optical retail revenue, 2,500+ active patients, modern diagnostic technology including OCT and digital refraction, and a clean transition story — either an associate already embedded in the practice or a seller willing to work for 24+ months post-closing. Practices with heavy owner dependence, aging equipment, or declining patient volume typically price at 3x–3.5x EBITDA or lower.

Can VSP or EyeMed insurance contracts be transferred to a new owner in an optometry practice acquisition?

Neither VSP nor EyeMed automatically transfers their provider contracts to a new practice owner. Both organizations treat a change of ownership as a new credentialing event, requiring the incoming optometrist to submit a new provider application and meet current paneling criteria. This process typically takes 60–120 days and is not guaranteed — EyeMed in particular has closed panels in some markets. Because managed vision care revenue can represent 40–70% of a practice's gross collections, buyers should initiate payer conversations as early as possible during due diligence and should include written confirmation of contract transferability or re-credentialing approval as an explicit condition to closing in both the LOI and the definitive purchase agreement.

How much should a buyer put down when using an SBA 7(a) loan to buy an optometry practice?

Most SBA 7(a) lenders require a buyer equity injection of 10–20% of the total project cost for an optometry practice acquisition. For a $1.5M acquisition, this means a buyer contribution of $150,000–$300,000 in verified liquid assets. The SBA allows seller notes to count toward the equity injection in some cases, but the seller note must typically be on full payment standby for 24 months and the combined equity injection still needs to meet the lender's requirements. First-time buyers with strong credit profiles and demonstrable optometry management or clinical experience may qualify at the lower end of the equity range. Work with an SBA lender experienced in healthcare practice acquisitions — their understanding of optometry cash flow dynamics and goodwill valuation will directly affect your approval odds.

What happens if the selling optometrist refuses to sign a non-compete agreement?

A seller who refuses to execute a meaningful non-compete agreement creates significant acquisition risk — the goodwill you are paying for is largely tied to patient relationships, and without restriction, the seller can open or join a competing practice within months of closing and solicit your newly acquired patient base. If a seller refuses a full non-compete, consider requiring a strong non-solicitation agreement covering patients, staff, and insurance relationships as a minimum, negotiating a longer seller transition period to reduce patient attrition risk, reducing the purchase price to reflect the elevated goodwill risk, and building in a patient retention earnout so the seller's payout is tied to whether patients actually stay. Also confirm your state's enforceability standards before finalizing any restriction language — optometry non-competes must comply with state-specific healthcare and employment law.

Should I include real estate in my optometry practice LOI if the seller owns the building?

This is one of the most significant structural decisions in an optometry practice acquisition. If the seller owns the real estate, you generally have two options: acquire the real estate as part of the transaction or negotiate a long-term triple-net lease with the seller retaining ownership. Including real estate in the deal increases the total project cost and SBA loan size but provides long-term location security and eliminates rent escalation risk — both important for an eye care practice whose value is closely tied to its physical location and community presence. Leasing from the seller post-closing can work, but requires a carefully negotiated lease with at least a 10-year initial term, renewal options, and protections against rent increases that could erode the practice's EBITDA margin. Address this decision explicitly in the LOI to prevent ambiguity during due diligence.

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