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Head-to-head · Optical Shop Software

Acuitas 3 vs EyePegasus

  • Updated Oct 2026
  • Both researched from official sources
  • 6 checks side by side
Higher score Acuitas 3 #1 in Optical Shop Software 9.3/10 Pricing on request ✓ 5 of 5 features Visit Ocuco
EyePegasus #7 in Optical Shop Software 8.0/10 Paid ✓ 3 of 5 features Visit EyePegasus

Acuitas 3 leads on 0 checks, EyePegasus on 0, and 6 are even. Who comes out ahead on the 6 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreAcuitas 3 · 9.3/10
  • Most featuresAcuitas 3 · 5 of 5

Acuitas 3 scores higher on our rubric for optical shop software: 9.3 against 8.0 out of 10; our editors rank them #1 and #7.

Acuitas 3 is the better fit for full-service optical practices with deep workflows. EyePegasus is the better fit for optometry practices needing optical orders and iPad support.

  • Acuitas 3 fits best

    Full-service optical practices with deep workflows

  • EyePegasus fits best

    Optometry practices needing optical orders and iPad support

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Side by side

Feature Acuitas 3 9.3/10 Visit ↗ EyePegasus 8.0/10 Visit ↗
At a glance
Editor score 9.3 8.0
Ranking #1 in Optical Shop Software #7 in Optical Shop Software
Best for Full-service optical practices with deep workflows Optometry practices needing optical orders and iPad support
Pricing model Paid Paid
Starting price Pricing on request $299/mo
Free plan Not checked yet —
Free trial — —
Deployment Cloud Cloud, Mobile
Platforms Web Web, Windows, macOS, Linux, iOS
Support Email, Phone, Tickets Email, Phone
Compliance SOC 2, ISO 27001, HIPAA HIPAA
Integrations 3 integrations 7 integrations
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market, Enterprise
Features Acuitas 3 5/5 · EyePegasus 3/5
Prescription management ✓ (best) Not checked yet
Frame inventory ✓ (best) Not checked yet
Lens ordering ✓ ✓
Insurance billing ✓ ✓
Appointment booking ✓ ✓
Specs
Location limit Not checked yet Not checked yet
Deployment Cloud Cloud
Our review
Pros
  • Connects records, appointments, dispensing, POS, insurance and inventory.
  • Supports lab orders, diagnostic equipment and ecommerce across channels.
  • Provides multi-location workflows and centralized Power BI reporting.
  • Combines customizable EHR workflows with scheduling and automated reminders.
  • Supports optical orders, frame and lens lookup, and multi-location synchronization.
  • Includes a native iPad EHR app and integrations such as DrFirst and FramesData.
Cons
  • Pricing is customized and requires contacting sales.
  • Wide operational scope may exceed the needs of practices seeking a narrow tool.
  • Regional configurations can vary in available capabilities.
  • Standard starts at $299 per month, with no free plan.
  • Two-way texting, eBilling and ePrescribe are listed under Professional, at $449 per month.
  • Retail inventory and point-of-sale depth is less prominent than optical ordering.
Our verdict

Acuitas 3 brings clinical and retail operations together for independent optometrists, clinics and optical chains. Its cloud platform covers electronic medical records, configurable optometry workflows, appointment scheduling, dispensing,…

Read the review →

EyePegasus is a cloud EHR and practice management system from EyeTcare, Inc., designed for optometry practices from solo offices to multi-location groups. It brings together customizable exam workflows, appointment scheduling, automated…

Read the review →
  1. Acuitas 3Optical Shop Software 9.3Pricing on request
  2. EyePegasusOptical Shop Software 8.0Paid

Strengths and trade-offs

  • Acuitas 3 — where it wins

    • Connects records, appointments, dispensing, POS, insurance and inventory.
    • Supports lab orders, diagnostic equipment and ecommerce across channels.
    • Provides multi-location workflows and centralized Power BI reporting.

    Where it doesn't

    • Pricing is customized and requires contacting sales.
    • Wide operational scope may exceed the needs of practices seeking a narrow tool.
    • Regional configurations can vary in available capabilities.

  • EyePegasus — where it wins

    • Combines customizable EHR workflows with scheduling and automated reminders.
    • Supports optical orders, frame and lens lookup, and multi-location synchronization.
    • Includes a native iPad EHR app and integrations such as DrFirst and FramesData.

    Where it doesn't

    • Standard starts at $299 per month, with no free plan.
    • Two-way texting, eBilling and ePrescribe are listed under Professional, at $449 per month.
    • Retail inventory and point-of-sale depth is less prominent than optical ordering.
  • Acuitas 39.3/10 · Pricing on request

    A cloud platform spanning clinical records, dispensing, retail operations and ecommerce.

    Visit OcucoFull verdict →
  • EyePegasus8.0/10 · Paid

    Optometry EHR, scheduling, billing and optical ordering, starting at $299 per month.

    Visit EyePegasusFull verdict →

More comparisons

All optical shop software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update