Scaling Up - Tyler Mills + Brian Samartino - Optometrists Building Empires - Episode # 041

What does it take to grow a cold-start practice into a thriving multi-location empire? On this week’s episode of Optometrists Building Empires, host Ankit Patel sat down with Dr. Brian Samartino and Tyler Mills, co-founders of Premier Eye Associates, to uncover their journey from opening their first doors in 2014 to running three successful locations. From overcoming early cash flow challenges to building a strong culture that attracts top talent, Brian and Tyler share candid lessons learned, including both wins and failures, like a bold neuro lens trial that didn’t pan out. Whether you're thinking about scaling your practice or refining your operations, this episode is packed with practical wisdom. 
 
Takeaways:
  • Start thinking like a big practice early. Even if you're just getting started, approach decisions with a growth mindset. Negotiate like a larger business and build scalable systems from day one.
  • Don’t grow without a solid foundation. Before expanding, make sure you have clear SOPs, strong leadership, and the infrastructure to support multiple locations. Growth without structure leads to burnout.
  • Invest in your culture. Define your core values and live them. A strong culture isn’t just good for morale, it helps attract and retain top-tier talent who believe in your mission.
  • Define roles and stick to them. Use tools like EOS to clearly assign responsibilities and decision-making authority. It’ll minimize conflict and help your team move faster with confidence.
  • Pilot everything before going wide. Whether it's a new treatment, software, or process, test it in one location first. Learn from the rollout, refine it, and scale only what works.
  • Don’t be afraid to fail. Innovation comes with risk. Embrace failure as part of the growth process.

Quote of the Show:
  • “ We want to develop leaders, we want to develop people who can be better interpersonally and at work.” 

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Scaling Up - Tyler Mills + Brian Samartino - Optometrists Building Empires - Episode #  041
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