Launch Your Cold Start Practice with Guidance From PECAA
Ashley Szalkowski, OD, of Guild Eyewear Studio in East Aurora, NY, knew she wanted to open her own practice soon after graduating from New England College of Optometry in 2018. After school, she worked in an ophthalmology office for two years where she saw firsthand the common challenges and opportunities of practice management. Then COVID hit and presented her an opportunity to make a change.“I wanted to be different,” she recalls. “And rather than buying an established practice, I decided to open cold because I had a clear vision of how I wanted my office to look and feel, and what my brand should be. In building my own practice, I was able to create our identity very mindfully from the start.”
In 2020, Dr. Szalkowski met with several organizations offering cold start resources, however, immediately connected with Jenny Wiley, the long-time business advisor for Professional Eye Care Associates of America (PECAA)’s cold start program called PECAA Launch. Jenny was in lockstep with Dr. Szalkowski until opening her practice doors in 2022 and continues to offer her guidance on day-to-day tasks and long-term planning.
Jenny shares, “Like so many of the cold start practice owners I work with, I was impressed with the clear vision that Dr. Szalkowski had for her practice. It is a privilege to share her journey and provide guidance as she brings her vision to life and builds an amazing boutique practice.”
For doctors looking to open cold, PECAA Launch, a special membership from the independent doctor alliance PECAA, is designed to support doctors who are opening new practices, from concept to grand opening and beyond. PECAA Launch membership is free for the first year, with reduced membership fees for the second year, allowing young practices to benefit from PECAA’s multi-faceted resources at little to no cost. PECAA Launch helps cold start practice owners navigate their path to success and helps make their dream of launching their own business a reality. PECAA’s support doesn’t stop the day a practice opens its doors; membership includes valuable business resources and tools to help practices thrive at every stage.
Importantly, this is not a franchise program. PECAA provides guidance and resources, while keeping practice owners in the driver’s seat and ensuring their practice reflects their desired style and culture.
Key benefits of PECAA Launch membership include:
· Dedicated cold start business advisors
· Guidance on opening timeline, critical milestones and business strategy
· Business advisors in finance and strategy, operations, optical management, marketing, and billing and coding
· Exclusive vendor partnerships with special pricing on equipment, software, practice design, frames, lenses and more
· Reduced startup costs and delayed payment terms
· Extensive business support, including Human Resources, education and training
· Events to connect cold start practice owners with colleagues who can share their journey and support yours
“To have someone like Jenny who understands the cold start process and has helped open numerous practices over the years is invaluable,” said Dr. Szalkowski. “I called her many times when I was feeling overwhelmed! I also worked with PECAA’s Finance & Strategy Advisor to come up with sales projections and timelines. And just last week, I called PECAA’s Billing & Coding Advisor with a question. It’s amazing to have this full team of people to turn to for answers whenever you need them.”
Dr. Szalkowski recalls that each step of her cold start opening was a test of strength, but that PECAA’s support smoothed her journey. “The biggest challenges were the amount of information to know and things to get done. None of the steps was necessarily difficult, but it was just a lot,” she said. “PECAA patiently and clearly walked me through all of it. From mapping out and setting up the patient check-in and the patient journey to ordering frame boards, the PECAA team made these processes less intimidating.”
Now, open for two and a half years and with a steady patient flow, Dr. Szalkowski is focused on increasing patient volume through marketing and adding specialty services. She recently worked with PECAA’s Marketing Advisor on a strategy, including a mix of website updates, social media marketing, local print ads, and targeted website banner ads through the PECAA Ads Program.
With the increase in patient demand for dry eye services, Dr. Szalkowski is also building out a dry eye clinic utilizing the PECAA K-DISK, PECAA’s exclusive amniotic membrane, for which members receive discounted pricing. Additionally, she continues to emphasize her stylish retail space and the independent frame lines she offers, which patients have come to love for their unique selections.
Owning an independent eye care practice can be rewarding at any stage of an optometric professional’s career, offering the ability to have a greater impact on patient care, a better work-life balance and increased income. Maximize the entrepreneurial experience with PECAA Launch as the perfect partner. Click here to discover cold start resources from PECAA Launch to help you thrive in your private practice ownership journey.
Want more cold start content? Be sure to listen to the episode of the Reframing Eye Care podcast featuring PECAA Chief Experience Officer Dr. Justin Manning, OD, MPH, FAAO, who joins Maria Sampalis, OD, for insights on the independent optometry landscape and how PECAA is helping doctors realize their dreams of private practice ownership.

