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acuity aide American Optometric Association appointment assistant Assn average benefits better contact lens patients contact lens practice cost deductible delegated depreciation disability dispensing doctor dollars earnings Econ economic efficient Elmstrom employed employees equipment evaluation examination expenses eye examination facilities factor fluorescein frame glass glaucoma gross income increase interest investment keratometer Keratometry laboratory lenses less low vision malpractice maximum month ophthalmic ophthalmic assistant ophthalmologists Ophthalmoscopy optical Optom Optometric Extension Program optometric practice optometrist orthoptics partners partnership payment personnel physicians possible practice management practitioner prescription problem procedures profession professional purchase ratio records referral refraction reports retinoscopy staff standard successful survey techniques telephone tends tests tonometer tonometry typical usually utilization vision vision therapy visits visual visual acuity wear Weekly Ym Ym