EHRranker

Home / Optometry / Compare

Optometry EHR comparison

What each optometry EHR offers, with a source for every fact. Vendors are listed alphabetically; for scored rankings see the Optometry ranking. “Unverified” means we found no source either way.

Checked 2026-10-04
FeatureCompulink AdvantageCrystal PMEpic (Kaleidoscope)Eyefinity EncompassEyeMD EMR (Optivate)MoyaeNextGen HealthcareRevolutionEHR
Deploymentmixed sourcemixed sourceUnverifiedcloud sourceon-prem sourcecloud sourcehosted sourcecloud source
Built-in AI scribeAI Scribe (ambient), built with Quantum AI Health; announced 2024-09-10 sourceCrystal AI Scribe listed as 'Coming Soon' sourceEpic AI Charting (ambient), released Feb 2026; support in Kaleidoscope's eye exam not confirmed sourceEncompassScribe (ambient) announced Sep 2025, early access Mar 2026; general availability not confirmed sourceOptivate AI Scribe Pro launched 2026-09-01 (with AI Dictation and AI Scribe Core) sourceMoyae AI Scribe (ambient), built into the EHR; announced 2026-06-23 sourceNextGen Ambient Assist; available to ophthalmology/optometry since 2024-10-01 sourceAI Scribe: hands-free voice capture into exam fields; launched 2026-04-27 at no extra cost source
Patient-access APIONC-certified (CHPL 15.04.04.2701.Comp.12.01.1.260227, includes (g)(10)) sourceONC-certified (CHPL 15.04.04.1030.Crys.06.01.1.221004, includes (g)(10)) sourcePublic FHIR API (Epic on FHIR) sourceONC-certified (CHPL 15.04.04.2900.Eyef.07.17.1.221219, includes (g)(10)) sourcePublic FHIR API documentation (CHPL id not found) sourceONC-certified (CHPL 15.05.05.3141.MOYA.01.01.1.230816, includes (g)(10)); SMART on FHIR patient apps sourcePatient Access APIs (FHIR R4) for NextGen Enterprise 5.9+ sourceONC-certified (CHPL 15.04.04.1591.Revo.07.00.1.181231, includes (g)(10)) source
Imaging / devicesInterfaces with 400+ ophthalmic devices (OCT, topographers, autorefractors, phoropters) sourceZeiss, Topcon, Optos, Optovue and others (OCT, fundus, visual field) sourceKaleidoscope covers diagnostic testing and eye-imaging workflows sourceIntegration partners include Zeiss, Topcon, Heidelberg, Optos, Optovue sourceBuilt-in DICOM PACS; Zeiss, Heidelberg, Topcon, Oculus, iCare, iTrace sourceOCT, fundus and topography beside the exam; DICOM devices via FHIR ImagingStudy sourceUnverifiedNo-cost integrations incl. Topcon, Canon, Marco, Optovue, Reichert source
Practice sizemid, large sourcesolo, small sourcelarge sourcesolo, small, mid, large sourceUnverifiedsolo, small, mid, large sourceUnverifiedsolo, small, mid, large source
Public pricingAbout $500–$900 per provider per month, cloud-hosted (third-party estimate) sourceBase plans not published ('Contact Us for Pricing') sourceUnverifiedEssential from $340/month, Enhanced from $758/month (one location, one doctor, first year; conditions apply) sourceUnverifiedUnverifiedUnverifiedCore $455, Advanced from $660, Premium from $830 (unit not stated; reported as per doctor per month) source
Review ratingCapterra 4.1 from 281 reviews (checked 2026-10-04) sourceCapterra 4.4 from 35 reviews (checked 2026-10-04) sourceCapterra 4.4 from 456 reviews, all of Epic (checked 2026-10-04) sourceCapterra 3.7 from 68 reviews (checked 2026-10-04) sourceCapterra 4.8 from 5 reviews (checked 2026-10-04) sourceCapterra 5.0 from 1 review (checked 2026-10-04) sourceCapterra 4.2 from 37 reviews, NextGen Enterprise (checked 2026-10-04) sourceCapterra 4.5 from 205 reviews (checked 2026-10-04) source

Strengths and drawbacks

Same rules for every vendor: only points a source supports, up to three each.

Compulink Advantage
Strengths
  • Deep customization and analytics source
  • Help line praised by reviewers source
  • EHR, practice management, optical point of sale and inventory in one system source
Drawbacks
  • Unintuitive, menu-heavy interface source
  • Updates bring new glitches source
  • Steep learning curve source
Crystal PM
Strengths
Drawbacks
  • Outdated interface source
  • Can't be installed on Apple computers source
  • Tedious billing workflows source
Epic (Kaleidoscope)
Strengths
  • Integrated platform: 'everything is connected' source
  • Separate optometry module for optometrist-only clinics source
Drawbacks
  • University of Washington ophthalmology saw patient volume ~17% lower for 4 years after its 2009 go-live source
  • At UCSD's 2018 Kaleidoscope go-live, documentation's share of trainee time rose from 48% to 57% source
  • Reviewers call it costly and complex for smaller practices source
Eyefinity Encompass
Strengths
Drawbacks
  • Too many steps for simple tasks such as printing an Rx source
  • Updates introduce glitches source
  • ExamWRITER loses ONC certification in May 2027 (vendor-announced) source
EyeMD EMR (Optivate)
Strengths
  • A reviewer reports billing workload cut by about 75% source
  • Ophthalmology-specific workflows praised source
Drawbacks
  • No offline data entry and limited Apple/mobile support source
  • Gaps in optometry tools such as contact lenses source
  • Reviewers mention high cost source
Moyae
Strengths
  • Reviewer: 'The system is so fast' source
  • Reviewer: custom integrations and two weeks of on-site training at no extra charge source
Drawbacks
  • The only reviewer (June 2026) says it lacked a practice-management module and needed a separate PM system source
NextGen Healthcare
Strengths
  • Highly customizable templates source
  • EHR, PM and revenue cycle integrated source
Drawbacks
  • Steep learning curve and dated interface source
  • Click-heavy charting source
  • Support quality 'on a down trend for years' source
RevolutionEHR
Strengths
  • Intuitive for staff source
  • Remote access from anywhere source
  • Device integrations at no extra cost source
Drawbacks

Compiled from vendor pages, Capterra, ONC disclosures, peer-reviewed studies and forums; CHPL ids are as published by each vendor. Capterra figures may cover a vendor's whole product line where noted. Machine-readable via the EyeCode MCP server (suggest_ehr). EHRranker's developer also builds software for Moyae, one of the vendors in this table; details.