Building Multi-Year Search Growth and AI Visibility Leadership

How a sustained local SEO and answer-engine strategy grew Visionary Eye Doctors' keyword footprint, expanded organic traffic, and earned the top position in AI-driven search.

Client

Visionary Eye Doctors

Services

SEO, Local SEO, Answer Engine Optimization

Industry

Ophthalmology, Healthcare, Local Services

Platforms

Google

Organic Keyword Growth (Since 2023)

169.2%

AI Visibility Rank

#1

Project Overview

Visionary Eye Doctors, a multi-location ophthalmology and oculofacial plastic surgery practice across the Washington, DC and Maryland area, partnered with 20North to grow its presence in local search. At the start of the engagement, the practice had a small organic footprint relative to the range of services and locations it covered.

Over a multi-year partnership, the work expanded from foundational local SEO into a full content and answer-engine program, building visibility across every location and service line while positioning the practice at the front of AI-driven search as that channel became a larger part of how patients find care.

Key opportunities included:

  • Growing organic visibility from a small starting keyword footprint
  • Building local search presence across multiple DC and Maryland locations
  • Covering the full range of ophthalmology and oculofacial service lines
  • Reaching patients researching conditions and procedures before booking
  • Establishing leadership in AI search and answer engines

Project Execution

20North built a local SEO and answer-engine program that scaled content across the practice's locations and services, then positioned that content to be surfaced and cited by AI search.

Local SEO Across Locations

  • Built and optimized location pages across the practice's DC and Maryland offices
  • Tailored each page to the services offered at that location rather than a one-size template
  • Optimized Google Business Profiles to reflect accurate services and information
  • Strengthened local relevance for the markets each office serves

Service and Pillar Page Development

  • Built pillar and service pages across the ophthalmology catalog, including cataract, glaucoma, cornea, and LASIK care
  • Developed oculofacial plastic surgery pages spanning eyelid, tear duct, orbital, and reconstructive procedures
  • Optimized pages around the terms patients use when searching for care
  • Expanded coverage as the practice added services and locations

Informational and Answer-First Content

  • Produced informational content targeting the questions patients ask before booking
  • Built topical authority across both routine eye care and specialized surgical services
  • Structured content for fast comprehension and answer-first search

Across the partnership, the footprint grew substantially. Since the engagement began, organic keywords rose 169.2%, from 3,271 to 8,804, and page 1 keywords rose 169.8%, from 311 to 839, expanding the practice's reach across its service lines and locations.

Answer Engine Optimization

  • Built an AI-visibility program with tracked prompts across every location and core service
  • Targeted high-intent local queries such as "eye doctor in Bethesda" and "oculofacial plastic surgeon"
  • Structured pages and content to be read and cited by large language models
  • Monitored AI Visibility, Share of Voice, and Citation performance against competitors

The AEO work put Visionary at the front of AI search in its market. The practice holds the #1 rank in AI Visibility with a score of 49.3%, the #1 rank in Share of Voice, and the #1 rank in Citations, leading the field as patients increasingly turn to AI-generated answers when choosing care.

Project Results

Over a multi-year partnership with 20North, Visionary Eye Doctors grew from a small organic footprint into a practice that leads its local market in AI search. The program expanded keyword coverage across every service line and location and established the top position in the AI-driven channels where patient discovery is increasingly happening.

Keyword Growth (Since June 2023)

  • Organic keywords up 169.2%, from 3,271 to 8,804
  • Page 1 keywords up 169.8%, from 311 to 839

Traffic Growth (Since June 2023)

  • Organic sessions up 39.5%, from 4,589 to 6,400
  • Organic users up 44.9%, from 3,354 to 4,860

AI Search Leadership

  • #1 rank in AI Visibility, with a score of 49.3%
  • #1 rank in Share of Voice, with a score of 6.6%
  • #1 rank in Citations, with a citation share of 8.7%

Search Authority

  • Built local visibility across every DC and Maryland location
  • Covered the full range of ophthalmology and oculofacial service lines
  • Positioned the practice to lead AI-driven, answer-first search

Testimonial

“We have had an excellent experience with 20North. From the on-boarding process to staying up to date with the latest changes, they have provided us with great guidance throughout. Their work in Google Ads and SEO has been highly professional and has driven an increase in web traffic. Overall, we have nothing but positive things to say about their services!” - Katia Carpio

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