Optometry practices run on a strange mix of clinical precision and paperwork. Recalls, eligibility checks, prior authorisations, optical stock, and a note that has to be finished before the next patient sits down. The chair is rarely the bottleneck.
Two different kinds of AI have arrived. One is ordinary practice software that drafts notes, answers phones and chases payments. The other reads retinas and, in a few cases, is cleared by the FDA to produce a screening result without a doctor looking first.
Every price below was read from the vendor's own pricing page; where a vendor publishes nothing, this article says so rather than guessing.
Why Eye Care Ended Up With Two Kinds of AI
The admin layer behaves like normal software: priced per location, per user or per month, and switchable at renewal. The clinical layer is regulated, because an AI that reports a diagnosis needs FDA clearance and a reimbursement code to make sense.
That split explains the market. The first group publishes prices because it competes on them. The second almost never does, because it is sold like medical equipment.
1. RevolutionEHR - the Optometry EHR With a Built-In AI Scribe
RevolutionEHR is a cloud EHR and practice-management platform built only for optometry: records, scheduling, billing and claims, plus the optical side. Its pricing pageA one-time setup fee and a database conversion fee sit on top. The AI is an AI Scribe that drafts visit notes, marketed on documentation time.
Why it made the list: the only optometry EHR here that publishes its entire tier ladder.
2. Eyefinity - AI-Assisted Documentation From $340 a Month
Eyefinity is the practice-management and e-commerce layer behind a large share of VSP-connected practices. Two plans carry public figures: Encompass Essential starting at $340/month and Encompass Enhanced starting at $758/month, plus a $50/month statement credit per practice for a year if you use the integrated payment processing. The AI is EncompassScribe, built into Encompass, and the site headlines its software as AI-assisted.
Why it made the list: a published monthly price and a named scribe, rather than a contact-sales form.
3. MaximEyes - EVAA, an AI Assistant for Every Desk
MaximEyes is a cloud optometry EHR with optical point-of-sale, and it has gone further than most rivals in naming actual AI products. EVAA Voice is pitched as an AI receptionist, EVAA Scribe as an AI medical scribe and EVAA Assistant as an optician's aide, with a Billing Assistant, a Virtual Assistant and Fast Pay on the revenue-cycle side. Its framing is that AI shouldn't be another application your team has to open. Pricing is not published, and the pricing route leads to a demo.
Why it made the list: the clearest AI roadmap in optometry software, with no way to price it without a demo.
4. Crystal PM - Add-On Prices Published, Base Plans Quote-Only
Crystal PM covers records, a patient portal, optical inventory, claims and payments. The three base plans all read “Contact Us for Pricing”, but the same page publishes what an extra doctor costs: $150, $210 or $290 a month depending on tier, with annual variants listed too. It advertises no AI of its own, which makes it a useful priced baseline.
Why it made the list: in a category that hides everything, the add-on list is the one number you can plan growth around.
5. Podium - $399 or $599 a Month for AI Lead Conversion
Podium is the patient-communication and lead-conversion layer that sits on top of whatever EHR you already run: texting, reviews, webchat and payments. Core is $399 a month and Pro is $599, with Signature quoted, and the AI Employee can be added to any plan. The named AI includes a Concierge, a Reputation Specialist, Phone Call Summaries, a Scheduler and a Salesperson. The headline is blunt: AI lead conversion with every plan.
Why it made the list: real published pricing for a product whose value is entirely the AI layer.
6. Weave - AI Call Intelligence, From $199 a Month
Weave bundles phones, texting, reminders, reviews and payments for practices including optometry. Pricing starts from $199 per month, but only the floor is public: Ultimate, Elite and Pro each show a “Get Pricing” button. The AI is sold as a suite of always-on tools, and the feature list names Call Intelligence, which uses AI to turn more calls into appointments. For a practice that misses calls while the front desk is with a patient, that is the honest pitch.
Why it made the list: the entry price is real, and call handling is where small practices actually leak revenue.
7. Sunoh.ai - an AI Scribe at $149 per User a Month
Sunoh.ai is an ambient AI medical scribe: it listens to the visit and drafts the note. It is sold across specialties, not to eye care alone, which makes it the option for a practice that is happy with its EHR and just wants documentation handled. Pricing is published as starting at $149 per user per month, currently flagged as a limited-time rate, so treat it as promotional rather than a list price.
Why it made the list: the clearest published price for an AI-only line item you can bolt onto an existing system.
8. Eyenuk (EyeArt) - Clinical AI That Reads the Retina
EyeArt from Eyenuk is an autonomous AI system for diabetic-retinopathy screening at the point of care, described by the vendor as the first FDA 510(k)-cleared autonomous AI that detects vision-threatening diabetic retinopathy. Screening is billed under CPT 92229, a code that matters more than any software tier because it decides whether the tool pays for itself. Pricing is not published; the model is contact-sales.
Why it made the list: this is AI that can generate revenue rather than only reduce admin.
The Rest of the Clinical AI Layer Is Quote-Only
Two more FDA-cleared systems sit in the same category. Digital Diagnostics makes IDx-DR, an autonomous AI that diagnoses diabetic retinopathy at the point of care, and AEYE Health sells AEYE-DS, described as a one-minute AI eye exam with portable and desktop cameras, reimbursable under the same CPT 92229 code. Neither publishes a price.
That is the pattern, not an oversight. Clinical AI is sold like equipment: through a rep, often bundled with a camera, usually with a service agreement. Before you engage, ask three questions. Which 510(k) clearance covers the claim you are buying? Is your existing fundus camera supported? And what does reimbursement look like in your state?
Names That Are Not What They Look Like
Roundups get sloppy in this category. Compulink lists optometry among its specialties and has an AI section, but no pricing route at all, and the price in its page schema is a zero placeholder. Eyebot, a self-service vision-testing kiosk that gets filed under AI refraction, says in its own FAQ that prescriptions are written and verified by a licensed eye doctor and that the kiosk does not use AI to write them.
Two more worth knowing. Klara's patient-engagement product now redirects to ModMed, so any link to it points at a different company. “Blueprint OMS” is audiology software from Blueprint Solutions, not optometry, despite appearing in eye-care lists. And 20/20 Now, a tele-optometry provider, publishes patient exam pricing from $99 but keeps software pricing behind a demo, while its old 2020now.com domain is a parked lander.
Worth remembering: appearing on an AI-for-optometry list is not evidence that a tool has AI, a price, or anything to do with eyes.
What Is Actually Priced, and How to Choose
Of the fifteen or so platforms worth a look, five publish real numbers: RevolutionEHR, Eyefinity, Podium, Weave's entry tier and Sunoh. Everything clinical is quote-only, which is not a reason to walk away but is a reason to run a structured evaluation.
Ask every vendor for a three-year total cost including setup, conversion and per-doctor add-ons, because those are exactly the figures Crystal PM and RevolutionEHR keep off the plan card. Then read the pricing shape, which tells you who the product is for. Eyefinity and RevolutionEHR charge by location and tier: buy those when you replace your core system. Podium, Weave and Sunoh charge per user on top: buy those when the problem is missed calls.
The Honest Takeaway
Start with the least glamorous question: what is actually costing you hours? If it is documentation, an ambient scribe such as Sunoh or RevolutionEHR's built-in tool is the shortest path, and both publish a price. If it is missed calls and unreturned recall messages, look at Weave or Podium first.
Only then look at clinical AI. It is the most interesting thing to happen in eye care in a decade, and it is a reimbursement decision as much as a software one. You will be buying it through a representative whatever the website says, so go in with your camera compatibility and your billing questions already written down.
Cover photograph: Matt Ming, CC BY 2.0, via Wikimedia Commons.