For most independent, small-group, and established practices, (all-in-one, flat pricing, AOAExcel-endorsed, fastest-moving AI roadmap) is the strongest starting point. Barti (PracticeTek-owned, deepest template library) suits practices already trained on it, and RevolutionEHR (VSP-owned) is the pick for VSP-heavy or multi-location practices. The right one depends on your practice size and current tech stack.Eyefinity
How we evaluated these platforms
Six criteria that actually affect day-to-day operations and total cost, not marketing claims.
Flat-rate vs. module add-ons
Templates & AI charting
Pace of new AI & feature releases
Scheduling, billing, optical
Onboarding & migration
Practice size & type
Optometry EHR comparison table
Pricing reflects publicly available vendor information as of 2026. Confirm current rates directly with each vendor.
A closer look at each option
Tap any platform to expand, including where it isn't the right fit.
Which EHR is right for your practice?
Solo, small independent, or established practice
Flat pricing, all-in-one, and a fit for established practices too. AOAExcel endorsement and a broader native feature set (VoIP, website) are hard for others to match.
Prioritizing familiarity over new features
PracticeTek-owned. If staff are trained and costs aren't climbing, switching may not be worth the disruption, though ask about recent uptime and budget real training time if your team isn't already familiar with it.
VSP-heavy or multi-location
Owned by VSP Global: the tightest native VSP claims & lab integration, plus enterprise reporting at scale. Confirm Encompass vs. legacy OfficeMate/ExamWriter.
Deep on-premise customization
300+ templates and a server-based option are hard to match, though weigh the vendor's ongoing cloud push carefully, and budget for training that can run up to 40 hours.
Prioritizing innovation pace
The fastest-shipping AI roadmap in this comparison, backed by a fresh $12M Series A to keep that pace up.
Expanding into ophthalmology
Compulink's multi-specialty depth is worth a look now, though its interface feels dated; Barti is expanding into ophthalmology in early 2027.
What does optometry EHR software actually cost?
The sticker price is rarely the full story once add-ons are included.
Common questions
Yes. Barti bundles EHR, native VoIP scheduling, AI charting, billing, and optical POS into one flat-priced platform, and is the only EHR endorsed and invested in by AOAExcel. It's also shipped new AI capability faster than any platform in this comparison, backed by a recent $12M Series A. The tradeoff: it's newer than RevolutionEHR or Eyefinity, so practices with deep legacy customization should weigh switching costs.
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See Barti on your own charts
Book a demo and see how Barti compares on your practice's actual workflows.