Service
Comprehensive Eye Exam
Overview
A comprehensive eye exam at The Eye Guy is a full evaluation of your vision, eye coordination, focusing system, and internal ocular health, performed by Dr. Samuel "Jake" Gouchenour Jr., O.D. in our Great Falls and Conrad, MT offices.
Most vision problems develop gradually, which is why so many patients don't realize how much they're compensating until they sit down for a proper exam. A comprehensive eye exam does more than update your glasses prescription, it's the single most important preventive health visit for your eyes.
Every comprehensive exam at The Eye Guy includes digital retinal imaging for every patient, so we can document the health of the back of your eye and compare it year over year. This is especially important for patients with diabetes, high blood pressure, or a family history of eye disease.
Dr. Jake takes an unhurried, conversational approach. Every exam covers refraction, binocular vision, eye pressure, and the health of the front and back of your eyes. You'll leave with a clear understanding of what we found, what it means, and what your options are.
Time to plan
About 45–60 minutes, plus 15–30 minutes if paired with a contact lens fitting.
Insurance & pricing
We currently accept Blue Cross Blue Shield, Allegiance, Montana Medicaid, and Healthy Montana Kids. Self-pay pricing is transparent and discussed up front, call us for a quote.
What to expect
- Pre-testing including auto-refraction and tonometry
- Detailed vision and refraction to fine-tune your Rx
- Binocular vision, focusing, and eye-teaming assessment
- Slit-lamp exam of the cornea, lens, and anterior segment
- Digital retinal imaging performed for every patient
- Diabetic eye exam and diabetes-related retinal screening
- Personalized recommendations for glasses, contacts, or treatment



Benefits
- Detects silent conditions like glaucoma, macular degeneration, and diabetic retinopathy early
- Diabetic eye exams document retinal changes so we can coordinate with your primary care provider
- Reveals systemic health clues, diabetes, high blood pressure, high cholesterol
- Ensures your prescription is truly optimized for how you work and live
- Establishes a baseline so future changes are easy to spot
How it works
- 1
Check-in & pre-testing
Confirm your info, review medical history, and complete pre-tests such as auto-refraction, eye pressure, and digital retinal imaging.
- 2
Exam with Dr. Jake
Refraction, binocular testing, and a full health evaluation of the front and back of your eyes, including a review of your retinal images.
- 3
Findings, plan & checkout
We walk through everything we found, build a plan around your goals and budget, then help you pick frames or head out with your Rx.
Technology we use
- Digital refraction system
- Non-contact tonometry
- Digital retinal imaging performed for every patient
- Modern slit-lamp biomicroscopy
How to prepare
- Bring your current glasses and any contact lenses you wear
- Bring your insurance card and a list of current medications
- Bring sunglasses in case Dr. Jake recommends dilation
- Allow yourself about an hour so you're not rushed
Who it's for
Recommended annually for every patient, including healthy adults, children, contact lens wearers, diabetics, and anyone with a family history of eye disease. Annual visits keep prescriptions current and catch silent conditions early.
Frequently asked questions
How long does a comprehensive eye exam take?
Plan for about 45–60 minutes. Add 15–30 minutes if you're combining it with a contact lens evaluation.
How often should I have an eye exam?
We recommend a comprehensive eye exam every year for every patient. Annual visits keep your prescription current and catch silent conditions like glaucoma, diabetic retinopathy, and macular disease early.
Will my eyes be dilated?
Because we perform digital retinal imaging on every patient, dilation is not always needed. Dr. Jake will recommend it when your history or exam findings call for a closer look.
Do I need an appointment?
Appointments are recommended so we can plan around you. Walk-ins are welcome, subject to availability.
Do you take my insurance?
We currently accept Blue Cross Blue Shield, Allegiance, Montana Medicaid, and Healthy Montana Kids. Additional carriers are being added, call to confirm your specific plan.
Do you perform diabetic eye exams?
Yes. Every comprehensive exam includes digital retinal imaging, and we offer dedicated diabetic eye exams with detailed retinal screening. We can send a report to your primary care provider or endocrinologist on request.
What if I just need a glasses prescription?
A routine exam includes your updated Rx. We give you a copy at checkout so you can fill it here or anywhere you like.
Related services
Patients booking comprehensive eye exam often pair it with these visits.
Eye Health Screenings & Diabetic Eye Exams
Annual diabetic eye exams plus screening for glaucoma, cataracts, and macular changes.
Learn morePrescription Eyewear
Custom lenses crafted to your prescription and lifestyle.
Learn morePediatric Eye Exams
Gentle, kid-friendly exams from infants to teens.
Learn moreService areas
Patients travel from across north-central Montana for comprehensive eye exam with Dr. Jake at The Eye Guy. We serve these communities from our Great Falls and Conrad offices:
- Great Falls
- Conrad
- Black Eagle
- Sun Prairie
- Vaughn
- Cascade
- Belt
- Fort Benton
- Malmstrom AFB
"Dr. Jake took the time to explain everything. Best eye exam I've ever had in Great Falls."
, Sarah M., Great Falls patient
Ready to see clearly?
Book Online and Save Time Today. Walk-ins welcome at our Great Falls and Conrad offices.