The marketing operating system for multi-location specialty eye care.

  • Network-scale capacity
  • Founder-led strategy
  • One investment across all campuses (most programs)
  • From the second location to the fiftieth
+2,573% organic impressions in 12 months. Greenwich Ophthalmology, reconciled against Search Console.

Marketing your patients see. Results you can.

Avner Engel, founder of Specialty Vision — executive portrait
Client testimonial
“Switching content marketing services, video, and social media over to Specialty Vision has been the best decision that I’ve made professionally. He really dives into the nuance of any medical service that’s being provided — without hand-holding, with curiosity, with intentionality.”
Marketing VP PE-backed multi-state ophthalmology group
The operating system

Three pillars hold the engagement together

Each one is the answer to a question multi-location buyers ask before they sign.

1,200+ terms / mo

Smart planning, live analytics, real automation

Decisions are powered by what patients actually search — 1,200+ unique terms tracked monthly per account — not what a keyword tool suggests.

  • Every metric on the dashboard is current, clickable, and reconciled against source data. No screenshots. No quarterly retrospectives.
  • Every decision, every bid change, every page update is logged in the open.
  • Lead routing, follow-ups, and review requests are automated so the front desk stops chasing and starts treating.
65.1% win rate

Every lead in a pipeline. Every pipeline ends in a patient

Opportunities live in a connected pipeline: Connected → Needs Info → Closed-Booked → Closed-Declined → Closed-No Response.

  • Each one is attributable to its source (OD, MD, Website, GMB), to the location it belongs to, to its current stage, and to the staff member working it.
  • A representative live deployment shows 298 opportunities tracked, 194 booked, 19 declined, 6 no-response — a 65.1% win rate.
  • The pipeline isn’t a CRM bolt-on. It’s the operating layer that closes the loop between marketing spend and a booked exam.
90-sec board read

You always know what’s happening. So does your board

No daily digest. No weekly roll-up. The dashboard updates the instant things happen.

  • Every contact is logged — calls, texts, follow-ups — attributed to the staff member, the location, and the lead.
  • Tasks board with overdue and today flags is open and shared.
  • Referrals are traced to their source — OD, MD, Website, GMB — in real time.
  • The five-card monthly executive summary is one page, ninety seconds, zero vanity metrics — engineered to be the briefing taken to the board.
At network scale

Volume run as a connected system

Volume at this scale, run as a connected system rather than a project queue, is what “compounding digital asset” looks like in practice.

Across the ReFocus Eye Health network — 38 practice websites, one corporate property, 25 additional locations under management — the pages are not generic blog filler. They are:

  • Condition pages
  • Treatment pages
  • Provider-specific content
  • Location-specific content
  • Localized thought leadership

All built against query data from real patient searches and structured to earn both classical-SERP rankings and LLM citations. The volume is delivered without subcontracting strategy — the 20-person in-house team carries it under one roof, with the founders on every account. Every campus is a node in a network, not a row in a “locations” page.

130+thought-leader pages / month

Deployed across the managed client base.

16+new site builds in production

In active production at any time.

38 + 25sites + locations managed

The ReFocus network, one source of truth.

11,000GMB phone calls · March 2026

+26% vs. February · +17% vs. March 2025. Direct calls — not impressions, not map views.

For PE deal teams

Evaluating an acquisition or planning post-close marketing standardization? The audit returns POOR / OK / GOOD across every site in the group on day one. The integration plan flows from there, on the same dashboard the operating team will use after close.

Case study

Greenwich Ophthalmology

Greenwich Ophthalmology Associates is a multi-specialty ophthalmology practice in Connecticut. Specialty Vision took over the marketing program in February 2025 and ran a 12-month build: site rebuild, technical SEO, schema, content engine, GBP optimization, AEO/GEO, and live dashboard reporting.

The mechanism: every ophthalmology subspecialty got its own tailored architecture rather than a one-size-fits-all “services” page.

  • Retina
  • Cornea
  • Glaucoma
  • Pediatric
  • IOL

Schema was layered on every page. The GBP profile was unified across locations and managed in real time. The dashboard surfaced wins and gaps weekly, so working sessions stayed grounded in current data. All figures reconciled against GA4, Search Console, and GMB. Available for live walkthrough on request.

Read the 12-month case study →

12-month results, Feb 2025 → Mar 2026.

+2,573%organic impressions
+706%organic clicks
+52%Google My Business calls
3.3Morganic impressions, single peak month
125 secaverage time on the appointment page (100% engagement rate)
Greenwich Ophthalmology Growth Portal dashboard — 12-month organic results
Why we exist

Most agencies hide the work

Most agencies wait for briefs. Specialty Vision dives into the nuance of any medical service being provided — without hand-holding, with curiosity, with intentionality. The volume is high. The quality is high. The clinical fluency doesn’t need to be explained.

If the category trains buyers to expect opacity, lag, and silence, Specialty Vision trains them to expect the opposite. Every default in the category was inverted on purpose.

Most agencies hide the work

  • Monthly PDFs you can’t verify.
  • Reactive, not proactive.
  • Silence between reports.

Specialty Vision was built to be the opposite

  • The dashboard is the source of truth.
  • The founder is on the call.
  • Tasks update the instant they happen.
  • Same-day response when something moves.
  • No quarterly retrospectives.
The economic claim

One investment, every campus

One investment covers the program across all campuses on most engagements. Growth at one location does not penalize the next. The model is built so a group can scale into the system, not get billed by it.

A fifth, tenth, or fiftieth campus joins the program without another fee schedule.

Two exceptions, named openly

Hosting

Scales modestly with the number of locations.

Google Ads management

Scales with monthly ad spend on a tiered structure that progressively reduces marginal rate as spend grows.

Both are detailed line by line in the proposal. The same pricing posture is what makes 130+ pages a month across 38+ sites economically sustainable for the practice.

How the engagement starts — audit-first

Six categories, scored POOR / OK / GOOD.

Every engagement begins with a live intake audit. No softening. The findings render on the dashboard during the walkthrough — not on a slide deck. The audit isn’t a sales document; it’s the first dashboard view of the engagement.

The six categories

Each is scored on a POOR / OK / GOOD scale and walked through live on the dashboard.

  • Links & Authority
  • Rank Tracker
  • Local Listings
  • Reputation Manager
  • GBP Audit
  • On-Site SEO

The composite that shows up first time, almost every time:

POOR

17 of 19 directories missing

BBB, Foursquare, MapQuest, Yelp Pages, twelve others. An afternoon of work fills the gap.

POOR

Rank > 50 on the target keyword

Local competitors hold positions 1–10. Past 50 is effectively invisible on Google Maps and Google Search.

POOR

Zero Google Analytics tags installed

The practice is running ads, hiring vendors, driving traffic — and measuring none of it. A baseline can be established in one sitting.

POOR

100% duplicate page titles

On landing pages — the pages are competing against themselves for the same query.

Most “POOR” findings are an afternoon of work to clean up.

Start with the audit
Founder-led. Every account.

Founder-led. Every account.

Strategy is set and reviewed by Avner Engel and Ilan Manoim — not handed off to an account manager. Weekly founder-led strategy sessions are working sessions, not status-update theater. Decisions made, not summarized.

Same-day response

When an algorithm shifts, an indexation issue surfaces, a ranking drops, or a GBP listing gets suspended. The dashboard surfaces it; the team acts on it before the call happens.

Renewal earned every 30 days

Month-to-month, no lockup. The bar is the same every month: if the work isn’t visibly worth it, the engagement ends. The dashboard makes that visible.

The clinical team owns

Clinical voice and accuracy. The clinical team should not be writing briefs.

Specialty Vision owns

Everything that determines whether a page ranks, gets cited, and converts:

  • Topic selection
  • Keyword targeting
  • Header architecture
  • On-page positioning
  • Schema
  • Distribution
  • EEAT signals
  • GBP optimization
  • Ad copy & bidding
  • Video production
  • Print design

The agency should not be writing clinical claims unsupervised.

The work, as described by the practices

In their own words

Marketing VP, PE-backed multi-state ophthalmology group
“Abner is the kind of marketer that any VP marketing or CMO wants to have in their back pocket. He really dives into the nuance of any medical service that’s being provided — without hand-holding, with curiosity, with intentionality. It’s not your ’90s advertorial. It is gorilla content that is effective, relevant, meaningful, and building trust. I have never worked with a marketing vendor who is as prolific and passionate.”
Marketing VP PE-backed multi-state ophthalmology group ▶ Watch
Insight Vision Optometry — multi-specialty practice, CA + Las Vegas
“I stumbled upon their website and I said, oh my goodness, this is a great website. The way that they demonstrated the specialty services of optometry was incredible. Specialty Vision has been helping us to be able to get the word out about the specialty services that we do — innovative and creative ideas of how to promote that, whether it’s digital marketing through our website, through videos.”
Insight Vision Optometry Multi-specialty: VT, scleral lenses, myopia management, ortho-K, dry eye. CA + Las Vegas.
Dr. Levi Zurcher, American Family Vision Clinic, Olympia WA +56% calls · 80 → 500+ reviews
“Google calls have increased by 56% and our website clicks also increased by about 50–55%. When I first started working with them, we had like 80 or 90 Google reviews, and now we have over 500. Helping us set things up in a way to basically just be more successful. Overall very positive.”
Dr. Levi Zurcher American Family Vision Clinic, Olympia WA · Four-year client ▶ Watch

What the read-through usually asks next

Month-to-month, no lockup, on every program. 30-day termination notice on website engagements. Renewal is earned every 30 days. The dashboard makes that visible — if the work isn’t worth it this month, the engagement ends.

On most growth programs, no. One investment covers the program across all campuses. Two exceptions, named openly: hosting scales modestly with the number of locations, and Google Ads management scales with monthly ad spend on a tiered structure that progressively reduces marginal rate at higher spend. Both are detailed line by line in the proposal.

A 20-person in-house team — SEO strategists, content specialists, developers, designers, video editors. Strategy is not subcontracted. Avner Engel and Ilan Manoim, the co-founders, lead every account directly.

Six categories — Links & Authority, Rank Tracker, Local Listings, Reputation Manager, GBP Audit, On-Site SEO — scored on a POOR / OK / GOOD scale. Walked through live on the dashboard, not delivered as a slide deck. Most “POOR” findings are an afternoon of work to clean up.

Technical audit begins within 48 hours of kickoff. Sites typically launch in 30 days. The local SEO push begins ~2 weeks before launch so visibility momentum is moving on day one. Compounding organic gains tend to show within 60–90 days, with case studies showing dramatic outcomes by month 12 (Greenwich).

Per-location dashboards, per-location GBP listings, per-campus geo-targeted pages, network-wide content cadence, and a single source of truth for the marketing data. Every campus is treated as a node in a network — not a row in a “locations” page. Site templates are built so a new location spins up without restarting design.

Strict definition. A conversion is a person whose search showed clear intent to book an appointment right now (not branded searches), typically within ~3 miles of the office, who clicked the ad and either reached a real person on the phone for a genuine conversation or submitted an appointment request online. Not traffic. Not window-shoppers. Neighbors actively trying to schedule care.

Live dashboard, 24/7. Weekly founder-led strategy session — working session, not status-update theater. Monthly deep-dive review. Monthly five-card executive summary — one page, 90-second read, zero vanity metrics, engineered to be the briefing taken to the board. Quarterly strategic research.

Full client ownership. All original content, images, schema, and assets stay with the practice — including after the engagement ends.

Aligned to HIPAA and ADA best practices. Reviewed at every release. Builds support acquisitions, rebuilds, and migrations across regulated multi-location healthcare environments.

The audit names the gaps — conversion-tracking misalignment, branded-search padding, weak negatives, broken landing pages, inflated management fees. The transition typically pays for itself in the first 60 days. Tighter conversion definition. Daily optimization. Lower management fees at typical scale.

Physician spotlights, on-camera coaching, provider-page architecture, and per-provider entity optimization for AEO/GEO. Provider launches ship with bio, headshots, 10–20 video assets, print kit, and referral mailers — all on schedule. Physicians see their work being shown off, on the dashboard their group runs the practice on.

Three steps

Show it off — not hide it.

01

A 30-minute executive briefing

A guided walkthrough of where your network actually stands today. From our side. On the dashboard, live.

02

A written plan in 5 days

Channels, KPIs, network-level priorities, timelines. The plan flows from the audit findings, not a generic template.

03

A live network dashboard from day one

Every action visible — to your team, to your physician partners, to the board. Every metric clickable to source.

Calendar embed — book the executive briefing directly.

Renewal earned every 30 days.

avner@specialty.vision · ilan@specialty.vision

Marketing your patients see. Results you can.

A sample monthly executive summary

Booked exams, per-channel attribution, per-location performance, current task status, and the trailing 30-day delta vs. baseline — one page, a 90-second read, engineered to be the briefing taken to the board, produced live on the same dashboard the network runs on.

Booked exams

Populated live from the dashboard.

Per-channel attribution

Populated live from the dashboard.

Per-location performance

Populated live from the dashboard.

Current task status

Populated live from the dashboard.

Trailing 30-day delta vs. baseline

Populated live from the dashboard.