License & Deployment Mix: 15 tools – 2 OSS, 8 SaaS. (OSS and SaaS counts can overlap when an open-source tool also offers a vendor-hosted edition.)
What Is Optometry Practice Management Software?
Optometry practice management software (optometry PM or eye care PM) is the operational backbone of an optometry or ophthalmology practice. It handles patient records, clinical EHR with eye-specific templates, scheduling, optical dispensary management, billing, insurance claims, and diagnostic device integration – replacing paper charts and manual workflows with a unified digital system.
Unlike a generic EMR or EHR, optometry PM software includes domain-specific features that general medical software cannot provide:
- Eye exam EHR templates – structured data entry for visual acuity, refraction, slit lamp findings, fundus examination, intraocular pressure (IOP), and visual field testing
- OD vs MD scope – OD (Doctor of Optometry) focuses on primary eye care, refraction, and contact lenses; MD (Ophthalmologist) adds surgical procedures, retinal disease management, and complex medical eye conditions – both share similar software needs
- Optical dispensary management – frame inventory tracking, lens ordering, lab status, patient try-on history, and point-of-sale for eyewear
- Frame data standards – standard frame measurements including A (lens width), B (lens height), DBL (bridge distance), temple length, and ED (effective diameter)
- Digital lens ordering – electronic lens orders transmitted to optical labs (Essilor, Hoya, Zeiss, Shamir) with prescription, frame, and lens parameters
- Vision plan billing – VSP, EyeMed, Davis Vision, Spectera, and other vision plan eligibility verification, authorization, and claims submission
- Medical billing – CPT/ICD-10 coding for medical eye conditions (glaucoma, macular degeneration, diabetic retinopathy, cataracts) billed to medical insurance
- Diagnostic device integration – autorefractor, OCT (optical coherence tomography), visual field analyzer, retinal camera, corneal topographer, and lensometer data import
- Recall system – automated annual eye exam reminders via text, email, and postcards
- MIPS/MACRA – CMS quality reporting programs for ophthalmology practices
- HL7/FHIR – healthcare interoperability standards for data exchange with hospitals, labs, and referring providers
- Optical lab integration – electronic lens orders, job tracking, and status updates from optical laboratories
The information on these pages was researched by a combination of human review and large language models. To suggest an addition or correction, please contact us. Prepared by Rhodium Systems Inc., author of the ResorsIT platform — a unified IT operations management platform for IT teams and MSPs that integrates a curated suite of open-source, commercial, and SaaS applications into a single system with shared identity, single sign-on, access control, and a common audit trail. Use this catalogue only as a starting point for your own research, and review any tool carefully against your own requirements before relying on it. Catalogue data version 2026.197.
Comparison
SSO / OIDC Comparison
OIDC is the preferred SSO protocol.
| Tool | OIDC | SAML | AD | Authentik Notes |
|---|---|---|---|---|
| OpenEMR | No | No | LDAP | LDAP via Authentik |
| GNU Health | No | No | No | No SSO support |
| RevolutionEHR | No | Yes | Yes | SAML via Authentik |
| Crystal PM | No | No | No | No SSO support |
| Eyefinity | No | Yes | Yes | SAML via Authentik |
| Compulink | No | No | Win | Windows auth only |
| MaximEyes | No | No | Win | Windows auth only |
| DrChrono | No | Yes | No | SAML via Authentik |
| ModMed | No | Yes | Yes | SAML via Authentik |
| NextGen | No | Yes | Yes | SAML via Authentik |
| EyeMD EMR | No | No | Win | Windows auth only |
| Officemate | No | No | Win | Windows auth only |
| LiquidEHR | No | Yes | No | SAML via Authentik |
| My Vision Express | No | No | No | Contact vendor |
| Uprise | No | Yes | No | SAML via Authentik |
Best SSO support: RevolutionEHR, Eyefinity, DrChrono, ModMed, NextGen, LiquidEHR, and Uprise offer SAML SSO that can integrate with Authentik. No optometry PM tool in this evaluation supports OIDC natively.
Desktop tools: Compulink, MaximEyes, EyeMD EMR, and Officemate rely on Windows authentication with no modern SSO protocol support.
Deployment Comparison
| Tool | Type | Platform | Cloud | On-Prem |
|---|---|---|---|---|
| OpenEMR | Self-hosted | Linux/Docker | Yes* | Yes |
| GNU Health | Self-hosted | Linux | No | Yes |
| RevolutionEHR | SaaS | Browser | Yes | No |
| Crystal PM | SaaS | Browser | Yes | No |
| Eyefinity | SaaS | Browser | Yes | No |
| Compulink | Desktop/Cloud | Windows | Yes | Yes |
| MaximEyes | Desktop/Cloud | Windows | Yes | Yes |
| DrChrono | SaaS | Browser/iPad | Yes | No |
| ModMed | SaaS | Browser/iPad | Yes | No |
| NextGen | Desktop/Cloud | Windows | Yes | Yes |
| EyeMD EMR | Desktop | Windows | No | Yes |
| Officemate | Desktop/Cloud | Windows | Yes | Yes |
| LiquidEHR | SaaS | Browser | Yes | No |
| My Vision Express | SaaS | Browser | Yes | No |
| Uprise | SaaS | Browser | Yes | No |
* = self-hosted cloud (user manages the server)
Core Feature Matrix
| Feature | OpenEMR | GNU Health | RevolutionEHR | Crystal PM | Eyefinity |
|---|---|---|---|---|---|
| Scheduling | Yes | Yes | Yes | Yes | Yes |
| EHR / eye exam | Basic | Basic | Yes | Basic | Yes |
| Optical dispensary | No | No | Yes | Yes | Yes |
| Vision billing | No | No | Yes | Yes | Yes |
| Medical billing | Yes | No | Yes | Yes | Yes |
| Diagnostics | Limited | No | Yes | Limited | Yes |
| Lens ordering | No | No | Yes | Yes | Yes |
| Patient portal | Yes | No | Yes | No | Yes |
| Feature | Compulink | MaximEyes | DrChrono | ModMed | NextGen |
|---|---|---|---|---|---|
| Scheduling | Yes | Yes | Yes | Yes | Yes |
| EHR / eye exam | Yes | Yes | Yes | Yes | Yes |
| Optical dispensary | Yes | Yes | No | No | No |
| Vision billing | Yes | Yes | Yes | Yes | Yes |
| Medical billing | Yes | Yes | Yes | Yes | Yes |
| Diagnostics | Yes | Yes | Limited | Yes | Yes |
| Lens ordering | Yes | Yes | No | No | No |
| Patient portal | Yes | Yes | Yes | Yes | Yes |
| Feature | EyeMD EMR | Officemate | LiquidEHR | My Vision Express | Uprise |
|---|---|---|---|---|---|
| Scheduling | Yes | Yes | Yes | Yes | Yes |
| EHR / eye exam | Yes | No | Yes | Yes | Yes |
| Optical dispensary | No | Yes | No | Yes | Yes |
| Vision billing | Yes | Yes | Yes | Yes | Yes |
| Medical billing | Yes | Yes | Yes | Yes | Yes |
| Diagnostics | Yes | Limited | Limited | Limited | Limited |
| Lens ordering | No | Yes | No | Yes | Yes |
| Patient portal | No | No | Yes | Yes | Yes |
Licensing Comparison
| Tool | License | Type | Cost Model |
|---|---|---|---|
| OpenEMR | GPL-3.0 | Open source | Free (support optional) |
| GNU Health | GPL-3.0 | Open source | Free (support optional) |
| RevolutionEHR | Proprietary | SaaS | ~$500–800/mo |
| Crystal PM | Proprietary | SaaS | Contact vendor |
| Eyefinity | Proprietary | SaaS | Contact vendor |
| Compulink | Proprietary | Desktop/Cloud | Contact vendor |
| MaximEyes | Proprietary | Desktop/Cloud | Contact vendor |
| DrChrono | Proprietary | SaaS | ~$200–500/mo |
| ModMed | Proprietary | SaaS | Contact vendor |
| NextGen | Proprietary | Desktop/Cloud | Contact vendor |
| EyeMD EMR | Proprietary | Desktop | Contact vendor |
| Officemate | Proprietary | Desktop/Cloud | Contact vendor |
| LiquidEHR | Proprietary | SaaS | ~$299–499/mo |
| My Vision Express | Proprietary | SaaS | ~$199–399/mo |
| Uprise | Proprietary | SaaS | Contact vendor |
API Comparison
| Tool | REST API | Access | Documentation |
|---|---|---|---|
| OpenEMR | Yes | Open (FHIR) | Comprehensive |
| GNU Health | Yes | XML-RPC | Limited |
| RevolutionEHR | Yes | Partner program | Limited |
| Crystal PM | No | N/A | None public |
| Eyefinity | Limited | VSP ecosystem | Limited |
| Compulink | Limited | Contact vendor | Limited |
| MaximEyes | Limited | Contact vendor | Limited |
| DrChrono | Yes | Open API | Comprehensive |
| ModMed | Yes | Partner program | Moderate |
| NextGen | Yes | Developer program | Comprehensive |
| EyeMD EMR | No | N/A | None |
| Officemate | Limited | VSP ecosystem | Limited |
| LiquidEHR | Limited | Contact vendor | Limited |
| My Vision Express | Limited | Contact vendor | Limited |
| Uprise | Limited | VisionWeb ecosystem | Limited |
Best API: OpenEMR has the most open and well-documented API with FHIR R4 support. DrChrono and NextGen also offer comprehensive developer APIs.
Monitoring Integration
| Tool | Telegraf | Fluent Bit | Grafana |
|---|---|---|---|
| OpenEMR | MySQL/Docker metrics | App + MySQL logs | Custom dashboards |
| GNU Health | PostgreSQL metrics | App logs | Custom dashboards |
| RevolutionEHR | Infra only (SaaS) | N/A | N/A |
| Crystal PM | Infra only (SaaS) | N/A | N/A |
| Eyefinity | Infra only (SaaS) | N/A | N/A |
| Compulink | Win services + SQL | Windows Event Log | Custom dashboards |
| MaximEyes | Win services + SQL | Windows Event Log | Custom dashboards |
| DrChrono | Infra only (SaaS) | N/A | N/A |
| ModMed | Infra only (SaaS) | N/A | N/A |
| NextGen | Win services + SQL | Windows Event Log | Custom dashboards |
| EyeMD EMR | Win services + SQL | Windows Event Log | Custom dashboards |
| Officemate | Win services + SQL | Windows Event Log | Custom dashboards |
| LiquidEHR | Infra only (SaaS) | N/A | N/A |
| My Vision Express | Infra only (SaaS) | N/A | N/A |
| Uprise | Infra only (SaaS) | N/A | N/A |
SaaS tools: monitoring limited to endpoint and network infrastructure; no server-side metrics.
On-premise tools: full monitoring integration via database, Windows service, and log monitoring.
Tools
15 tools.
Compulink Advantage
Compulink Advantage is a long-established EHR and practice management system designed specifically for ophthalmology and optometry practices.
License: Proprietary (proprietary) · Kind: web · Deploy: saas, native · SSO: none
Crystal PM
Crystal PM is a cloud-based practice management system for optometry practices, focused on scheduling, optical dispensary management, and vision and medical billing, with third-party EHR integrations.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: none
DrChrono
DrChrono is a cloud-based EHR and practice management platform serving multiple medical specialties, including optometry and ophthalmology. It is known for its iPad-first design, strong API, and flexible clinical templates.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
Eyefinity
Eyefinity is a cloud-based practice management and EHR platform built by VSP Vision, one of the largest vision insurance companies in the United States.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
EyeMD EMR
EyeMD EMR is a desktop-based electronic medical records system designed specifically for ophthalmology practices. Built by ophthalmologists for ophthalmologists, it focuses on clinical documentation for surgical and medical eye care.
License: Proprietary (proprietary) · Kind: web · Deploy: saas, native · SSO: none
GNU Health
GNU Health is a comprehensive health and hospital information system developed by GNU Solidario, a non-profit organization.
License: GPL-3.0-only (OSS) · Kind: web · Deploy: native · SSO: none
LiquidEHR
LiquidEHR is a cloud-based EHR platform designed specifically for optometry practices. It provides clinical documentation with optometry-specific exam templates, scheduling, billing, and patient communication in a browser-based interface.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
MaximEyes
MaximEyes is an EHR and practice management system designed for optometry and ophthalmology practices.
License: Proprietary (proprietary) · Kind: web · Deploy: saas, native · SSO: none
Modernizing Medicine (ModMed)
Modernizing Medicine (ModMed) is a specialty-specific cloud EHR and practice management platform, with a clinically deep, iPad-first ophthalmology module (EMA) and extensive diagnostic device integration.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
My Vision Express
My Vision Express is a cloud-based practice management and EHR platform designed for optometry practices and optical retail shops.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
NextGen Healthcare
NextGen Healthcare is an enterprise-grade EHR and practice management platform serving multiple medical specialties, including optometry and ophthalmology.
License: Proprietary (proprietary) · Kind: web · Deploy: saas, native · SSO: none
Officemate (Eyefinity)
Officemate is a desktop-based practice management and optical dispensary system developed by Eyefinity, a VSP Vision company.
License: Proprietary (proprietary) · Kind: web · Deploy: saas, native · SSO: none
OpenEMR
OpenEMR is the most widely deployed open-source electronic health records and practice management platform in the world. It serves over 100 million patients across 100+ countries and is ONC certified for meaningful use.
License: GPL-3.0-only (OSS) · Kind: web · Deploy: native, docker · SSO: none
RevolutionEHR
RevolutionEHR is one of the leading cloud-native EHR and practice management platforms designed specifically for optometry.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML
Uprise (VisionWeb)
Uprise is a cloud-based practice management platform for optometry developed by VisionWeb, a VSP Vision company.
License: Proprietary (proprietary) · Kind: web · Deploy: saas · SSO: SAML