John O'Neill, OD
Optometrist · Houston, TXNPI 1356383525
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.1%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. Alcon accounts for 64.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2023 at $3,482 and has fallen 84.6% since, to $537 in 2025. Among optometrist clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 129 payments — averaging $74.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$6K
- Johnson & Johnson Vision Care, Inc.$3K
- Johnson & Johnson Surgical Vision, Inc.$184
- Ocular Therapeutix, Inc.$126
- ABB Con-cise Optical Group LLC$59
- AbbVie$49
- plus $154 from 6 others
What the payments were for
- Speaking & faculty fees$4,83550%
- Food & beverage$4,76649%
- Gifts$190%
- Entertainment$350%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Alcon | 49 | $6,176 |
| Johnson & Johnson Vision Care, Inc. | 64 | $2,907 |
| Johnson & Johnson Surgical Vision, Inc. | 2 | $184 |
| Ocular Therapeutix, Inc. | 2 | $126 |
| ABB Con-cise Optical Group LLC | 2 | $59 |
| AbbVie(2 entities) | 2 | $49 |
| Bausch & Lomb Americas Inc. | 2 | $44 |
| Optos, Inc. | 1 | $35 |
| Coopervision Inc. | 2 | $25 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Tearlab Corp | 1 | $16 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- DAILIES TOTAL1$4,500
- Precision 1$4,500
- AIR OPTIX$3,000
- Dailies Aqua Comfort Plus$3,000
- Air Optix plus HydraGlyde$2,000
- Air Optix Color$1,000
- AIR OPTIX for Astigmatism$1,000
- Acuvue$895
- TOTAL30$386
- DAILIES$335
- Precision7$107
How this compares
$9,655 in reported general payments places this provider in the 95th percentile of 4,315 optometrist providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Latanoprost | 15 | $218 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Houston
- Claudio LagunasHouston$644K
- Ashley Wallace-TuckerHouston$547K
- Bridgitte LeeHouston$222K
- Phillip BrunsonHouston$214K
- Maria WalkerHouston$128K
- Seema NandaHouston$87K
- Danica MarrelliHouston$87K
- Richard BakerHouston$78K
- Karen LeeHouston$71K
- Nishi MehdirattaHouston$45K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.