Senior Optometrist Salary in Pinehurst, NC: $216,675 (2026)
Quick Answer:The top tier of optometrists working in Pinehurst, NC — those at or above the 90th percentile — pull in $216,675/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1041. Strip back Pinehurst's price premium (BEA RPP 93.6, 6% below national) and that top-decile pay carries the same buying power as $231,490 in average-cost America. The 39% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Pinehurst, North Carolina, offers an enticing compensation structure for seasoned optometrists, particularly those at the pinnacle of their profession. In 2026, the median annual salary for experienced optometrists in this area is projected to be $155,830, representing a significant earning potential for those able to reach the top tier, with salaries soaring to $216,675 (P90). This remarkable figure positions Pinehurst's top earners about 10.82% above the national median of $140,612. Achieving such premium pay requires not only extensive experience—typically over seven years—but also specialization in high-demand areas such as ocular disease and pediatric optometry. The disparity between the median salary and the top potential indicates a lucrative rewards structure designed for those who continue to advance their expertise and refine their skills in this evolving field.
About the Pinehurst Market
Salary estimated from North Carolina average ($130,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Pinehurst
Experienced optometrists at the top of the pay scale in Pinehurst earn between $183,226 and $216,675 per year (2026 est.). This $122,939 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Pinehurst median of $155,830 sits 10.82% above the US median.
Top OD Salary Comparison
| Level | Pinehurst | National |
|---|---|---|
| Median (P50) | $155,830 | $140,612 |
| 75th Percentile | $183,226 | $170,008 |
| 90th Percentile (Top 10%) | $216,675 | $208,165 |
In Pinehurst, experienced optometrists (P90) earn 39.05% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Optometrist Pay in Pinehurst
Advanced Certifications in North Carolina
NC optometrists with additional specialty certifications within the optometry field earn significantly above the $155,830 median. Expanded-scope credentials are increasingly valued by Pinehurst employers.
Specialty Focus
Optometrists focusing on high-acuity or specialty areas within the optometry field in Pinehurst command premium compensation, often reaching the $183,226–$216,675 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Pinehurst metro area often pay above-market rates for experienced optometrists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured optometrists in Pinehurst with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Optometrists in North Carolina who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Optometrist Career & Wage Growth Path in Pinehurst
Clinical Optometrist
0-5 yearsSenior/Lead Optometrist
5-10 yearsOptometrist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedPinehurst ranks #38 of 44 North Carolina cities for top earner optometrist salary (90th percentile: $216,675).
Top 10% optometrist compensation in Pinehurst ($216,675) is 10.8% below the North Carolina average P90 ($242,905).
2019 BLS Actual
$202,036
2025 BLS Actual
$210,446
2026 Current Est.
$216,675
2019–2027 Growth
+10.4%
Salary Trajectory for Optometrists in Pinehurst (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $202,036 | Actual |
| 2020 | $203,816 | Actual |
| 2021 | $200,256 | Actual |
| 2022 | $199,256 | Actual |
| 2023 | $212,444 | Actual |
| 2024 | $159,654 | Actual |
| 2025 | $210,446 | Actual |
| 2026(current) | $216,675 | Estimated |
| 2027 | $223,089 | Projected |
Top-earning optometrists (90th percentile) in Pinehurst saw their compensation grow 4.2% from $202,036 in 2019 to $210,446 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 2.96% annual growth rate, senior-level pay is projected to reach $223,089 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Pinehurst metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.96% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Optometrist Earnings in Pinehurst
Compensation for senior optometrists in Pinehurst varies significantly depending on their area of specialization and the type of practice in which they work. For instance, those with advanced skills in ocular disease, pediatric optometry, or sports vision typically command higher salaries compared to their peers. In terms of employer type, private practice optometrists often have greater potential for salary growth through ownership stakes and shared surgical revenue models, especially when working alongside ophthalmologists. Conversely, positions in retail optical chains may offer more stability but can limit earnings potential in comparison to independent or private equity-owned practices. Career advancement paths also abound, with opportunities to become associates in OD/MD practices, multi-location operators, or even educators within residency programs. Additionally, obtaining advanced qualifications, such as completing a residency or securing glaucoma certification, can significantly elevate earning potential in senior roles. Non-salary compensation factors, including equity stakes in private practices and the appeal of an OD/MD collaboration model, further enhance the financial landscape for experienced optometrists in NC.
More salary data for Pinehurst, NC:
Frequently Asked Questions
How much do experienced optometrists make in Pinehurst in 2026?
What drives higher optometrist pay in Pinehurst?
What certifications boost optometrist salary in Pinehurst?
Can experienced optometrists make six figures in Pinehurst?
How much does optometrist salary increase over time in Pinehurst?
Related Pages
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Written by Aisha Patel, OD
Career Analyst
Aisha Patel has 10 years of experience in optometry. She specializes in pediatric vision care. Aisha works in a private practice setting.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $210,446 for optometrists in the Pinehurst metro area. A 2.96% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Pinehurst is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.96%, derived from historical BLS wage trends for optometrists (SOC 29-1041).
Compiled and verified by Aisha Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov