Episode 21

Lessons from Starting a Private Practice in a Competitive Market Such as Los Angeles

by Ophthalmology Business Academy | April 12, 2023

Starting a private practice can be a daunting task, especially in a market that is already saturated with healthcare providers. However, Dr. Lazar’s remarkable achievements in establishing and growing his successful ophthalmology practice in the fiercely competitive healthcare industry of Los Angeles are a testament to his exceptional skills, unwavering determination, and innovative strategies. His outstanding success offers invaluable insights and inspiration for other ophthalmologists aspiring to build their thriving private practices.

With his primary focus on premium patient care, Dr. Lazar found ingenious ways to find and retain highly qualified employees, navigate the initial profitability stages, manage rental costs, acquire essential equipment, and much more. 

Dr. Lazar’s story is an awe-inspiring testament to how a passion for serving others and an unwavering entrepreneurial spirit can lead to unparalleled success. His exceptional wisdom and vast experience are a powerful source of motivation and empowerment for those planning to establish their solo practice in the healthcare industry.


  • 00:01:22 – Dr. Lazar’s journey in ophthalmology
  • 00:02:52 – Starting up a private practice
  • 00:05:16 – Why did you decide to go solo?
  • 00:07:04 – Revenue streams to thrive at the initial stage
    • Medical-legal work
    • Working in other comprehensive practice
    • Clinical trials
    • Engage in other business
  • 00:12:30 – Managing the cash flow
  • 00:15:59 – Strategies to hire new employees for a startup practice
  • 00:17:14 – Advice to others who are willing to start their practice
  • 00:21:00 – The Future of the private practice Volume – based care Premium care
  • 00:24:05 – Pros and Cons of volume- based care and premium based care / Naren shares his opinion
  • 00:26:30 – How do you let patients know that you are different?
  • 00:28:18 – Any special consideration for starting a private practice in a saturated market


David Lazar, MD

Board Certified Ophthalmologist
Vitreoretinal Surgeon
Clinical Researcher
Founder of TheiaMD™
Co-Host of the Ophthalmology Business Podcast

David Lazar, MD, is a board-certified ophthalmologist with subspecialty training in medical and surgical diseases of the retina. He serves the Southern California community from his practice, Lazar Retina, in West Los Angeles. This state-of-the-art facility mimics Dr. Lazar’s dedication to providing the best treatment available for conditions that affect eye health and threaten vision. He’s also firmly committed to providing personalized, patient-focused care in a warm and welcoming environment. 

As a vitreoretinal specialist, Dr. Lazar is well-known for his surgical skill and expertise in diagnosing and treating issues that affect the retina and the vitreous body. He offers innovative procedures and therapies to diagnose and treat a range of eye conditions, including macular degeneration, macular holes, macular pucker, retinal tears and detachments, vein occlusions, posterior vitreous detachment, and diabetic retinopathy. 

Dr. Lazar was born and raised in Los Angeles, California. He completed fellowship training in vitreoretinal diseases and surgery at the Lahey Hospital and Beth Israel Deaconess Hospital in Boston, Massachusetts. While there, he also served as a Clinical Associate at Tufts University School of Medicine and Harvard Medical School. 

Prior to his fellowship, Dr. Lazar was Chief Resident at the LSU/Ochsner Clinic Foundation program in New Orleans, Louisiana. During his time in New Orleans, he worked at the Veteran’s Affairs Hospital providing retina care for Veterans experiencing eye conditions associated with aging, including complications from diabetes and high blood pressure, macular degeneration, and retinal detachments. 

Further, he is the CEO, and founder of  TheiaMD™TheiaMD™ started after noticing that many of his patients were not getting the full benefits of commercial hypochlorous acid solutions commonly used to treat dry eye and other conditions. He began testing and discovered that some of these products did not have the correct concentration of hypochlorous acid, and others lost effectiveness after being opened within weeks. To provide a better solution for his patients, he created a generator that would produce fresh solution at each application, and TheiaMD™ was born.

Dr. Lazar has presented his research findings at several national meetings, including: the American Society of Retina Specialists (ASRS), the American Association of Ophthalmic Oncologists and Pathologists (AAOP), the American Uveitis Society (AUS), and the Southern Medical Association (SMA). 

He currently serves as a co-investigator in several national clinical trials for the treatment of dry and wet macular degeneration. He’s also frequently asked to provide a second opinion regarding treatment options for severe eye conditions. His patients can rely on his medical expertise and reap the benefits of his patient-first approach to eye care.

Connect with Dr. David Lazar

LinkedIn: linkedin.com/in/david-lazar-md-212bb8173 


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