Practice Revenue Management
Revenue Optimization
Maximize the value of every patient encounter by improving cash flow, reducing revenue leakage, and increasing profitability.
Operational Excellence
Improve efficiency, strengthen team performance and accountability, and create systems that support consistent operational excellence.
Optical & Retail Performance
Increase dispensary profitability through improved inventory management, capture rates, pricing strategies, and retail performance.
Growth / Transition Planning
Build a stronger and more valuable practice while preparing for and supporting future growth, succession, or transition opportunities.
Why MRG Consulting?
Built on 32 Years of Real-World Optical Experience
MRG Consulting was founded by a leader with 32 years of hands-on experience inside optometric practices—from Front Desk and Technician to Practice Manager, District Manager, and Multi-Site Operations Leader.
Experience That Goes Beyond Theory
For more than three decades, MRG Consulting’s founder, Misty Gilder, has worked in the optometric industry from the ground up—gaining firsthand experience in nearly every aspect of practice operations.
From patient care and optical retail to insurance reimbursement, team leadership, and multi-location management, Misty understands the challenges practice owners face because she has lived them.
Unlike consultants who rely solely on industry benchmarks and reports, MRG Consulting brings practical, real-world experience and proven strategies that can be adapted to the unique needs of each practice.
32+ Years of Industry Experience
Hands-On Operational Expertise
Retail & Optical Performance Knowledge
Revenue & Profitability Focus
Practice Growth & Transition Insight
Who We Help
Independent Practice Owners
Looking to improve profitability, efficiency, and long-term growth.
Practices Preparing for Transition
Interested in increasing practice value and preparing for future opportunities.
Multi-Location Practices
Seeking operational consistency, stronger performance, and scalable systems.
Emerging Practice Leaders
Developing management systems, accountability, and operational excellence.
Common Challenges We Help Solve
This is a powerful lead-generation section because visitors self-identify.
✔ Revenue growth has stalled
✔ Insurance reimbursements seem lower than they should be
✔ Optical sales are underperforming
✔ Staff accountability is inconsistent
✔ Practice profitability is declining
✔ We are considering growth or expansion
✔ We want to increase the value of the practice
✔ We are preparing for a future transition or succession
Why Practices Partner With MRG Consulting
32+ Years
Industry Experience
Multiple Practice Roles
From Technician to Leadership
Revenue & Profitability Focus
Real-world operational expertise
Independent Practice Perspective
Helping owners build stronger businesses