India has one of the largest population of unnecessarily blind and vision impaired individuals in the world; totalling 15 million people. This group is geographically widespread, with a vast majority living in rural areas. Yet, less than 1Optical Sector in India 2008, Ace Global, On Behalf of Italian Trade Commissioner,2008 2McKinsey Global Institute, July 2010 3 Compound annual growth rate 4 IBEF Healthcare Market Overview and Trends, November 2011 3% of India’s 840,130 doctors have completed specialist medical training in vision care, and for those that have, relatively few live and practise outside tier I and II cities5 . Unless the healthcare services are made more widely accessible, regional demand is expected to remain largely unfulfilled. For example, people in rural areas often suffer from refractive blindness resulting from the prohibitive travel time and costs of getting a pair of glasses.6 The impact to the Indian economy of lost potential productivity due to avoidable causes of blindness is estimated to be INR 187,000 crores or $34 billion per annum (2008), with INR 126,500 crores or $23 billion alone due to uncorrected refractive error. Ironically, the Indian vision care industry which has been growing strongly in 2012 is projected to be less than INR 11,000 crores or $2 billion in total annual sales or less than 2.5% of the total Indian healthcare sector; and imports more than 70% of its spectacle needs, or more than 50 million pairs of spectacles from China each year.