I’ve also noticed optometrists using hard sale tactics to get you to consider LASIK with a certain surgeon. Some juicy commissions there, plus the business model entails splitting some of the follow up visits between the two merchants, er, docs.
$500 for exam and lenses appears obscenely high unless you have some special, rare Rx. If your lenses are low prescription readers, you don’t need all that undercoating, extended warranty, anti-theft registry, (just kidding…) UV protection, extra thin lenses, etc., etc. All the $#!7 they try to sell you are obvious profit padding.