ophthalmic assistant

registered nurse

optician

front desk receptionist

accounts receivable clerk

American Vision Partners

My experience in this role highlighted significant challenges related to leadership, structure, and overall organization. There appeared to be a consistent disconnect between leadership decisions and the realities of provider enrollment and credentialing workflows.

Leadership often seemed removed from the day-to-day processes, which resulted in expectations and deadlines that did not always align with payer requirements or operational timelines. This created an environment where employees were expected to deliver results under pressure without the necessary support, clarity, or resources to do so effectively.

In my experience, accountability was not always applied consistently. Frontline staff were frequently responsible for meeting demanding expectations, while broader process or leadership gaps were not clearly addressed. This contributed to a culture where employees could feel undervalued and overextended.

Communication across leadership and staff was often unclear or inconsistent, leading to confusion, duplicated work, and inefficiencies. Rather than improving workflows, these challenges sometimes made it more difficult to succeed in the role despite strong individual effort.

Opportunities for advancement and professional growth felt limited and lacked transparency. It was not always clear how leadership roles were structured or what criteria were used for progression, which made long-term development within the organization feel uncertain.

The strongest part of the experience was the team. Many coworkers were dedicated, knowledgeable, and supportive, and they played a major role in maintaining day-to-day operations despite the challenges.

Overall, this role may be a good fit for individuals comfortable working in a fast-paced, evolving environment with limited structure. However, for those seeking strong leadership, clear processes, and consistent support, this may be a challenging place to grow.


Typical day at work: clock in 30 minutes before 1st pt. appt. time, prepare lidocaine syringes, complete med count, prepare dye(s) for angiograms based on ophthalmologist's preferences, assist pt's with seating, explain procedure and obtain pt. consent, assess and obtain IV access (this position expects the RN will obtain IV access 95% or better on 1st attempts).  Inject dye(s), evaluate pt's physical and psychological needs from beginning to end of procedure.  Complete pt. charting, assist with room turnover.  Between pt's, assist OT team Lead with rooming pt's and preparing pt's for ocular injections and other ophthalmologist needs.  Before day's end, complete medication and supply inventory and ordering.

You have to really be OK with traveling.  It is typical to spend a few hours or more a day just on commuting.

This could be a dream job if there wasn't so much toxicity.  While there, I observed a lot of gossipping and favoritism.  I personally experienced backstabbing and bullying.  The team I feel was encouraged to constantly text the manager and RN supervisor of minor discrepancies instead of respectfully communicating their concerns with me.

Do not expect a work environment where there is a culture of appreciation - you are on your own.  There are staff members who are kind and helpful, but they are the exception - not the norm.

Hopefully American Vision Partners, along with Barnet Dulaney Perkins, will dig deep to discover how to objectively identify and evaluate the above behavior so that they can then provide a safe and peaceful work environment for their staff, which I believe will contribute to higher retention and satisfaction rates.  It's no wonder with the last job posting they offered a sign-on bonus.

The orientation is the con! They make you believe it's one of the best places to work in Phoenix, when it's actually one of the WORST! There's no management structure, which explains the lack of organization of the work flow.  Training is PATHETIC!  People hired days/weeks before me were assigned to train new employees (even after a week long nonsensical onboarding/training class) Most trainers admitted to not knowing why they were training, because they didn't know what they were doing. During onboarding, they make you sign all these consent waivers. One is for a productivity goal that is just ridiculous!  You're assigned work that is so backed dated/very old.  There are MINIMAL guidelines/policies/procedures to follow to complete work.  You're expected to create your own and even still those are null and void of the actual job you're actually doing. Any guidelines, etc. on file are antiquated and do not help with the job flow either.  Workers are expected to complete "tasks" to reach their goal. Expectations of work day -  "work fast"..."get points".  Supervisor training me advised me to "not waste time on researching issues. Just get your points and go home!" Speaking of supervision, or the lack there of...the unprofessional behaviors of the management staff are just appalling!  They are either micromanaging, mismanaging or not managing AT ALL! Not much is done in confidence, compliance matters are ignored and discretion is not conducted or valued.  The turnover rates are astounding!  Turnover is completely ignored. HR doesn't follow up with complaints/concerns.  The company pins their turnover problems on former employees as "not fit for the company", which is clearly a FALSE statement. I'm NOT surprised by the poor ratings and truly expect to see many, many more. 

I had a deeply negative experience working as an Optician at American Vision Partners. The training was inadequate, with a focus on seasoned staff while new employees were left unsupported. Whenever I didn’t understand something, it was treated as my fault, and I was criticized rather than helped. When I sought assistance from other managers, I was scrutinized, yet the same managers were upset if I made mistakes. The work environment lacked teamwork and was plagued by miscommunication. My manager was difficult to talk to, often had a quick temper, and did not check in on my progress unless it was to point out something negative.

Despite needing more training, I was left to work alone, only to be fired later for not “picking up fast enough” and making mistakes. The reasons for my termination were inconsistent, and no solid evidence was provided. One of my trainers even told me I was making good progress and just needed a couple more weeks to learn the role. It was frustrating to be blindsided by negative feedback that was never communicated until it was too late.

On top of that, I was commuting 40 minutes by Uber each day, spending significant amounts of money, only to be told I wasn’t eligible for reimbursement because I didn’t own a vehicle. I was putting my all into the job, even leading my location in sales one week, only to be fired days later. This experience severely impacted my mental health and left me struggling to make rent in my new apartment after being abruptly let go. I never felt supported or heard, and overall, the work environment was toxic.



I am a COA with almost ten years experience in the eyecare business, and I can tell you working for this company was extraordinarily hellish.  Acquaintances I've reunited with since (that have also moved on) recount the same thing.  It's like a broken record: on the surface BDP appears to be an appealing opportunity, with great benefits for eyecare professionals and a chance to work with brilliant doctors and advanced technology.  BDP's culture, however, is one of dirty politics, poor management, and a swamp of mediocre employees who stay employed by getting rid of much-needed talent. 

Rivers of anger and resentment flow abnormally beneath the surface of BDP's entire workforce, making it an unstable place for any professional.  If you're a doctor, do your homework before being duped into "becoming an investor" and "partner" : you will have no say in the practice, and any demand you make can and will lead to the Manager of Clinics enlisting assigned "help" to spy on you, in order to procure something that can be used against you.  If you're an ophthalmic assistant, I cannot stress enough that you need to find work somewhere else as soon as you can.  Your first hint was during orientation, when they informed you you are not considered an actual employee.  Your final warning will be the few decent people who try to counsel and shield you from the infantile whims (read: firings) of the real employees: the doctors and spies.  If you are a nurse, surgical tech, or optician, I cannot comment on these departments, but I wish you all the best of  luck.

During a typical day, we are not kept well informed and from what I've seen management position selections have been made based on popularity with the higher echelon of management and executives, We have had a few doctors treat the support staff with such disrespect, completely unacceptable.  I was told by the clinic manager that there is nothing that anyone can/ or will do; Human Resources will not entertain reprimanding doctors because the organization as a whole is very short staffed on Doctors and can't "afford" to lose a doctor because they're being told to act in a more professional manner.  I feel that management is more concerned with trying to make themselves look good to the executives and less concerned with backing their staff.  Communication and trust is one of the more difficult aspects of the job because more often than not it's like working with high school kids than healthcare professionals.  I have been unhappy for a while in my position but I continue to work, because I don't really have anything else to fall on at the moment.  I deeply enjoy helping our patients see/ restore their vision and educate them about their eye care health/ needs and there are a couple doctors who see the value in the support staff (front desk, optician, technicians), because it takes all of us to take care of the patients and to be able to provide quality and efficient healthcare to our beneficiary population.

I came into this company with a very positive impression and I was very excited to be apart of this company. I have been there for 3 years now and I have experienced nothing but being pacified when it comes to wanting to advance in my career and being filled with false hope. I am a very hardworking dedicated employee and I am heavily leaned on by management and co-workers, but that does not get you very far with them. They take take take with only a little give. I may not be a nurse or a doctor but I play an important role in my job and I do it good. They create rules and only follow them when it is convenient. I have been told for years that I would move forward and be trained in a position I greatly desired. Over the years they came up with BS qualifying rules(THAT NO ONE ELSE HAD TO COMPLETE) they said I had to complete in order to work in the position. What do you know, I did everything they asked me to do and I have yet to have a new job title. Good luck also trying to receive a raise. They are cheap as cheap gets, you will be told to be grateful with what you have instead of truly looking into the situation and even considering you for a raise. The benefits are awful, and they do not offer bonuses or any other incentives besides paid holidays. 
 They complain when they can't keep good employees, yet, they do not take care of the ones they have. If they offered more incentives and did not constantly feed you empty promises and truly valued their employees, it would not be a bad place. I hope in the future they learn how to take care of their employees.

I've read many reviews about AVP. I have this to say: There is a stark difference between the folks here for a job, and those here for a career. I started with the company in March 2017 and it was the best decision I could have made. I have experienced much growth in that time, had remarkable exposure to learn hands-on a variety of different concepts/skills that are all relevant. I have switched gears from surgery counseling, management of surgery counselors, moved into training surgery counselors, and now lead the surgery counselor and surgery center trainers. AVP has been a place where I came to grow and never stop developing. I have invested my energy and efforts into a career, and the opportunities and experiences are reciprocated. My advice: People looking for a job can find one at AVP. People looking to build a career can do this quite successfully at AVP as well. It takes the right mindset and maturity and attitude to do this. Hard work, sometimes long hours, and recognizing the growth opportunities are a choice. Mindset is a choice. Growth is a choice. Not engaging with co-workers who are job-focused rather than career-oriented is a choice that has led more than one person to a more fulfilling career path. I am so very happy to be working for AVP and am grateful for all the opportunities I have had to grow.

Management at American vision partners is absolutely horrible! There's very little training with very high goals immediately. There is absolutely zero understanding, next to no communication. Than when you're being told that you're messing up, you're not allowed to talk to your fellow team members, they rule with an iron fist and have serious power issues! I was absolutely miserable every single day working at this company! The turnover is absolutely outrageous because of these things! Nobody can stand to work there and when issues are taken to human resources they're not taken seriously and just swept under the rug. I would never recommend this company to anybody unless they do a complete overhaul of management! You are expected to work with very little direction. Very little support, if any at all, And then it's your fault. When you don't meet your goals or you do something wrong. They'll tell you to do something one way and then within a few days they'll tell you that you're doing it wrong. Absolutely everything that you communicate with management needs to be done in writing. Otherwise they will turn around and say they never said whatever it was. They do not stand up for their people, they do not care about their people, and you are just a workhorse and 100% completely replaceable!

If you like being micro managed and expected to go above and beyond while patients treat you like trash this job is for you. You can only take bathroom breaks during your assigned break times so UTI’s are welcomed. There is a lot of favoritism and management is not helpful at all, the main manager at the center is unpleasant and always looks like she’s in a bad mood. The team leads are so incompetent that no one can get a straight answer for anyone. They hire pretty much anyone with no experience, no wonder the patients are fed up with the whole company. Benefits are expensive and overall the company lies about it being a great place to work. They treat the call center employees like second class citizens, we answer phones for the company and make them all the money but never get any appreciation. Patients are now treated like numbers they are no longer treated as if they care. It’s corporate now so money is more important than patients well being. You can voice your concerns all day long until you’re blue in the face but you are left in the dark about everything. Pay is minimal for this stressful job, they expect you to answer calls for so many companies and don’t compensate you. If you value your sanity stay away!! 

Top Job Titles	Average Salary
Ophthalmic assistant 12 salaries reported	$20.29 per hour
Registered nurse 4 salaries reported	$38.50 per hour
Optician 3 salaries reported	$19.00 per hour
Front desk receptionist 1 salary reported	$16.00 per hour
Accounts receivable clerk 8 salaries reported	$20.47 per hour

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