Regulatory Intelligence

Arizona Optometry
Compliance Framework

Compliance is not a legal checkbox — it is a capital protection mechanism. A single HIPAA breach, an uninvestigated OSHA citation, or an improperly structured ownership entity can unwind a transaction, invalidate an acquisition loan, or trigger personal liability. Lumina maps the full Arizona compliance landscape before capital is deployed.

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Compliance Architecture

The Arizona Optometry Regulatory Universe

Arizona optometry practice owners operate at the intersection of four distinct regulatory frameworks — state licensure, federal healthcare law, employment law, and facility regulation. Lumina Medical Capital integrates compliance due diligence into every transaction structure, ensuring the practice you acquire or sell carries no undisclosed regulatory liability.

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ARS Title 32 — State Licensure

The Arizona Revised Statutes Chapter 16 governs optometry licensure, scope of practice, and professional conduct. All Arizona ODs must hold a current AZBOR license with therapeutic pharmaceutical agent (TPA) certification to perform the medical-grade services that drive acquisition multiples. License verification is a day-one due diligence task.

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HIPAA / HITECH Compliance

Healthcare practices are subject to HIPAA Privacy Rule, Security Rule, and Breach Notification Rule obligations enforced by HHS OCR. A practice undergoing acquisition must demonstrate: current Notice of Privacy Practices, signed Business Associate Agreements with all vendors, documented Security Risk Assessment (SRA), and a defined Incident Response Plan.

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OSHA Healthcare Standards

Optometry practices are subject to OSHA Bloodborne Pathogen Standard (29 CFR 1910.1030) for contact lens handling and ophthalmic procedures, Hazard Communication Standard for chemical inventory, and Eye & Face Protection standards. An unresolved OSHA citation discovered during acquisition due diligence can trigger purchase price renegotiation or escrow holdback.

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CPOM & Ownership Structure

Arizona's Corporate Practice of Medicine doctrine — as modified by HB 2026 — governs who may own optometry practice entities. Non-OD ownership requires a properly documented PC/MSO/MSA structure with a licensed OD maintaining clinical authority. Any ownership structure that predates HB 2026 or lacks current legal documentation poses acquisition risk.

Due Diligence Intelligence

Compliance Due Diligence: Acquisition Checklist

Every Lumina-structured acquisition includes a compliance due diligence review. These are the ten non-negotiable verification points before any capital is committed.

01
AZBOR License Verification
Confirm current active status, TPA certification, and absence of board actions or consent agreements for all clinical ODs.
02
Medicare/Medicaid Enrollment Status
Verify no outstanding overpayment demands, no exclusion from federal healthcare programs (OIG LEIE check), and current PECOS enrollment status.
03
HIPAA Security Risk Assessment
Confirm a documented SRA has been performed within the past 24 months and that identified risks have been remediated with documented evidence.
04
Business Associate Agreement Inventory
Obtain and review current BAAs with EHR vendor, billing service, frame lab, contact lens distributor, and any cloud storage provider handling PHI.
05
OSHA Bloodborne Pathogen Program
Verify existence of written Exposure Control Plan, annual training records for all clinical staff, and maintained Sharps Injury Log (if applicable).
06
Ownership Entity Structure Review
Confirm PC/MSO/MSA documentation is current, the Call Option agreement is executable, and no ownership changes have occurred outside the documented structure.
07
Malpractice Tail Insurance Verification
Confirm current occurrence or claims-made policy status. If claims-made, verify tail coverage commitment in the APA. Unresolved prior acts exposure transfers with an asset purchase absent explicit indemnification.
08
Employment Law Compliance
Review I-9 records, AZ minimum wage compliance ($14.35/hr effective Jan 2025), PTO accrual liability, and any pending or threatened employment claims that would transfer under an asset or stock purchase.
09
DEA Controlled Substance Registration
Verify current DEA registration for any OD prescribing controlled substances (cyclopentolate, atropine). Confirm proper Schedule log maintenance and disposal records.
10
Stark Law / Anti-Kickback Review
Confirm no referral arrangements, equipment leasing agreements, or space rental contracts exist that could implicate Stark Law self-referral prohibitions or AKS kickback provisions — particularly relevant for practices with in-office labs or ancillary service lines.
Covenant Intelligence

Arizona Non-Compete Enforceability in OD Transactions

Non-compete agreements in Arizona optometry transactions are enforceable — but only within specific statutory boundaries. A non-compete that is too broad is no protection at all.

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Geographic Scope

Arizona courts enforce non-competes with geographic restrictions tied to the actual patient draw area of the practice — typically a 5–15 mile radius in dense urban markets like Scottsdale and Phoenix, and 10–20 miles in suburban and exurban markets. Statewide restrictions are rarely enforced. The restriction should map to verifiable patient ZIP code data from the selling practice.

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Duration

Arizona courts have upheld non-compete durations of 2–5 years in healthcare practice transactions. Two years is the industry standard for optometry acquisitions; three years is common in earnout transactions where the seller continues to practice through the transition period. Duration beyond five years faces meaningful enforceability risk.

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Scope of Practice

A non-compete restricting all optometry practice is generally enforceable in a sale-of-business context (vs. employment context where stricter scrutiny applies). Restrictions should be drafted to cover the specific services that generated the acquired practice's revenue — medical eyecare, contact lens fitting, optical dispensing — not all healthcare services.

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Blue-Pencil Doctrine

Arizona courts apply the blue-pencil doctrine — modifying rather than voiding overbroad non-competes. This means a court will reduce an unreasonable restriction to what is enforceable rather than invalidating it entirely. Structure the non-compete defensively: begin at the broadest reasonable terms, anticipating judicial modification rather than drafting to the extreme.

Ownership Law Intelligence

AZ Medical Ownership Laws

Compliance architecture connects directly to ownership structure. Explore the full Arizona HB 2026 and CPOM framework that governs who may legally own an optometry practice entity in Maricopa County.

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Capital Deployment

Compliance Is Capital Protection

A practice with clean compliance documentation commands a higher multiple, closes faster, and carries less escrow holdback. Lumina integrates regulatory due diligence into every capital deployment — before the wire, not after.

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