Optometrist Hourly Pay in San Jose, CA: $66.99 (2026)

Exploring the financial implications of both part-time and per-diem work, it's important to note that optometrists working only three days a week typically earn substantially less annually compared to their full-time counterparts. In practical terms, a 24-hour workweek for an optometrist translates to an annual income that may not provide the financial stability necessary for all expenses, particularly in a high-cost city like San Jose. Per-diem optometrists, functioning as fill-in or contract staff, frequently secure earnings of $500 to $800 per day within retail settings, while those in specialized OD/MD practices can earn between $700 and $1,200 per day. Hourly rates can vary significantly depending on the employment model, with small private optometry practices generally offering lower rates compared to retail optical giants or hospital systems. For those seeking stability, health benefits may come at a trade-off, where some optometrists accept lower hourly wages for comprehensive health insurance. Optometrists looking for better compensation should focus on negotiation strategies that highlight their clinical skills and residency training, especially as the scope of practice expands to include advanced procedures like glaucoma management and oral medications.