Pat,
I moved your post as I thought it deserved its own discussion, and the other thread is long enough as it is.
First and most importantly, regarding the cost of a contact lens exam at Costco - the prices vary quite a bit throughout the country. By me, the price is no longer the $79 I had quoted a year and a half ago, but is $85 I believe I saw when I last checked. I'll call soon and verify the price to make sure it is accurate in this post. I'm not sure if the price went up significantly in your area, or if it has always been higher. I suspect that the price for eye exams and contact lens exams is higher in your area, which is why the price is higher at the Costco near you. I'm curious what the going rate is for eye exams and contact lens exams in your area from other providers?
Second, regarding optometrists and ophthalmologists - I wrote a post on the topic of the
differences between optometrists, ophthalmologists, and opticians about 4 years ago. I would not consider an optometrist to be a "technician". I might accept that an optician is more of a technician, with far less training requirements. But optometrists do go to 4 years of graduate school - AFTER college in order to be licensed. An OD degree (what optometrists have) is considered a Doctor of Optometry. Unless you have some serious eye problems, going to an ophthalmologist would be overkill. Optometrists are the people who specialize in fitting glasses and contacts, and that is who I go to see for my eye exams, even when I went to a private practitioner.
Perhaps you were thinking that opticians are the ones who do the eye exams? They have very little education requirements in order to do their job. Opticians can not write prescriptions, but they basically fit and adjust glasses.
I'll update this post once I have the current contact lens exam price from my local Costco.