In 2022, how the internet represents physicians to the public (ie, prospective patients) is arguably more impactful for patient education and recruitment than traditional word-ofmouth or print media conveyance of information. In this issue of JAMA Ophthalmology, Soares et al 1 used a clever and innovative Google application programming interface (API) to assess how ophthalmologists and optometrists stack up in terms of representation on local Google searches for "eye doctor near me." They strikingly demonstrate that in most US territories and states, ophthalmologists are underrepresented in search results relative to the actual proportion of ophthalmologists in a given geographic area. This finding is not confined to rural or underserved regions; on the contrary, some of the most pronounced differences were seen in populous states, such as Texas, New York, California, and Florida.What are the implications? To quote Soares et al, "the public's perception of the term eye doctor shapes the demand for ophthalmologic services." 1 I agree with the authors but would take it one step further: besides demand, public perception influences law and policy. Scope of practice for optometrists continues to regularly expand nationwide, with the most recent momentum shift occurring in California when the state assembly signed bill AB 2236 on September 1, 2022. This law in the nation's most populous state will expand optometrists' allowed procedures to include peripheral laser iridotomy, laser trabeculoplasty, laser posterior capsulotomy, and removal of eyelid lesions, making California the latest domino to fall in the scope-ofpractice battle. 2 Beyond reimbursement or referrals, the optometry-ophthalmology tug-of-war carries major potential implications for patient safety and the future of ophthalmic education. Defining who we are as ophthalmologists will only become more important as there is a greater shift to using ancillary medical care professionals, such as nurse practitioners and physician assistants, in eye care roles, including independent performance of procedures, such as intravitreal injections. 3 This is not to say ophthalmologists should isolate themselves from our eye care colleagues. Faced with an exponentially growing need for eye care services due to an aging population and the diabetic epidemic, we need an all-handson-deck approach with ophthalmologists, optometrists, and physician extenders working in a team approach to reach all patients for screening, diagnosis, and treatment. Boundaries need to be maintained, however, lest they be twisted and corrupted for financial benefit at the expense of patient