Optometrist Hourly Pay in Winston-Salem, NC: $83.77 (2026)

Exploring the part-time earning potential, an optometrist working 24 hours per week can earn approximately $130,000 annually, a figure that reflects a comfortable income, especially in a city with a cost of living index below the national average. Per-diem or locum tenens optometrists can see even higher daily rates; those filling in at retail chains may bill between $500 and $800 per day, while agency roles in OD/MD practices typically range from $700 to $1,200 daily. However, the average per diem optometrist pay in Winston-Salem depends greatly on the employment setting, with private practices often offering slightly lower hourly rates compared to larger retail chains. This variation creates a unique dynamic, as some optometrists may opt for lower pay in exchange for health insurance benefits, while others prioritize higher hourly wages without benefits. Negotiating pay in Winston-Salem requires understanding this balance and leveraging the expanding scope of optometry practice, including roles that require residency training and specialized certifications, which can command premium rates.