Misty Gilder

With more than 32 years of experience in the optometric industry, Misty Gilder brings a rare combination of operational expertise, leadership development, and business acumen to every practice she serves. Having worked her way through nearly every position within an optometric practice—including Front Desk, Optician, Optometric Technician, Practice Manager, District Manager, and Multi-Site Operations Leader—she possesses a comprehensive understanding of the challenges and opportunities facing today’s practice owners.

Misty’s career has been defined by a commitment to operational excellence, team development, patient satisfaction, and financial performance. As a former ABO and CPOA-certified professional, she has successfully led and supported as many as 12 optical practices simultaneously, helping organizations improve efficiency, strengthen accountability, enhance patient experiences, and drive sustainable growth.

Her expertise spans practice revenue optimization, multi-site operations management, leadership coaching, KPI analysis, budgeting, retail performance, strategic growth initiatives, and organizational development. Throughout her career, she has consistently helped practices uncover hidden opportunities for improvement, strengthen operational performance, and increase profitability.

One of Misty’s greatest strengths is her ability to rapidly increase practice value through practical, results-driven strategies. By focusing on operational improvements, team engagement, patient experience, and business execution, she has helped practices achieve significant financial gains, including doubling revenue within a 12-month period and creating measurable increases in practice value in remarkably short timeframes.

As the founder of MRG Consulting, LLC, Misty works closely with independent practice owners, managers, and leadership teams to identify opportunities, solve operational challenges, and create sustainable pathways for growth. Her approach is grounded in positivity, accountability, servant leadership, and a genuine passion for helping others succeed.

Misty believes that exceptional patient care and strong business performance go hand in hand. Her mission is to help practices build stronger teams, create better patient experiences, improve profitability, and position themselves for long-term success in an increasingly competitive healthcare environment.