Senior Optometrist Salary in Spokane, WA: $166,981 (2026)
Quick Answer:The top tier of optometrists working in Spokane, WA — those at or above the 90th percentile — pull in $166,981/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1041. Strip back Spokane's price premium (BEA RPP 100.3, 0% above national) and that top-decile pay carries the same buying power as $166,405 in average-cost America. The 29% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

With an expected median annual salary of $129,915 in 2026, experienced optometrists in Spokane, WA, are well-positioned to earn substantially above this benchmark. Top earners in the region, falling within the 90th percentile, can anticipate compensation reaching as high as $166,981, creating a considerable gap with the median that reflects the experience premium in this field. Achieving such elevated pay often requires deep specialization, coupled with years of dedicated practice. Those in Spokane who harness their skills in areas like ocular disease management or pediatric optometry may find themselves not only in demand but richly rewarded, signaling a lucrative career path for seasoned professionals.
2026 Salary Percentile Distribution in Spokane
Experienced optometrists at the top of the pay scale in Spokane earn between $160,041 and $166,981 per year (2026 est.). This $76,191 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Spokane median of $129,915 sits 7.61% below the US median.
Top OD Salary Comparison
| Level | Spokane | National |
|---|---|---|
| Median (P50) | $129,915 | $140,612 |
| 75th Percentile | $160,041 | $170,008 |
| 90th Percentile (Top 10%) | $166,981 | $208,165 |
In Spokane, experienced optometrists (P90) earn 28.53% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Optometrist Pay in Spokane
Advanced Certifications in Washington
WA optometrists with additional specialty certifications within the optometry field earn significantly above the $129,915 median. Expanded-scope credentials are increasingly valued by Spokane employers.
Specialty Focus
Optometrists focusing on high-acuity or specialty areas within the optometry field in Spokane command premium compensation, often reaching the $160,041–$166,981 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Spokane metro area often pay above-market rates for experienced optometrists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured optometrists in Spokane 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 Washington 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 Spokane
Clinical Optometrist
0-5 yearsSenior/Lead Optometrist
5-10 yearsOptometrist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedSpokane ranks #49 of 49 Washington cities for top earner optometrist salary (90th percentile: $166,981).
Top 10% optometrist compensation in Spokane ($166,981) is 25.33% below the Washington average P90 ($223,627).
2019 BLS Actual
$168,820
2025 BLS Actual
$162,180
2026 Current Est.
$166,981
2019–2027 Growth
+1.8%
Salary Trajectory for Optometrists in Spokane (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $168,820 | Actual |
| 2020 | $133,220 | Actual |
| 2021 | $154,327 | Actual |
| 2022 | $183,620 | Actual |
| 2023 | $220,760 | Actual |
| 2024 | $167,260 | Actual |
| 2025 | $162,180 | Actual |
| 2026(current) | $166,981 | Estimated |
| 2027 | $171,923 | Projected |
Top-earning optometrists (90th percentile) in Spokane saw their compensation grow -3.9% from $168,820 in 2019 to $162,180 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 $171,923 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Spokane 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 Spokane
When it comes to senior optometrist compensation strategies, various specializations can significantly enhance earning potential. Ocular disease residency graduates, pediatric optometrists, and those proficient in cornea/contact lenses or vision therapy frequently command higher rates than their peers in less specialized roles. Different employment types also influence pay dynamics; optometrists in ophthalmology practices with an OD/MD model may share surgical referral revenues, while those in retail chains might experience compensation tied to sales. Furthermore, leadership opportunities abound for veteran practitioners seeking advancement, with paths leading to practice ownership or faculty positions in residency programs. Notably, advanced credentials, such as a TPA certification or completion of a residency, can provide leverage in salary negotiations, making continued education an asset in the evolving market of Spokane.
More salary data for Spokane, WA:
Frequently Asked Questions
How much do experienced optometrists make in Spokane in 2026?
What drives higher optometrist pay in Spokane?
What certifications boost optometrist salary in Spokane?
Can experienced optometrists make six figures in Spokane?
How much does optometrist salary increase over time in Spokane?
Related Pages
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Nearby Cities in Washington
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 $162,180 for optometrists in the Spokane 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
Source: BLS, OEWS, 6-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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