Supporting Healthy Vision from an Early Age
Children rely on their vision every day to learn, grow, play, and interact with the world around them. At 20Twenty Eyecare, our pediatric eye exams are designed to monitor visual development early, detect concerns before they affect learning or daily life, and help children build a strong foundation for lifelong eye health.
We provide pediatric eye care for infants, children, and teens throughout Bozeman and the Gallatin Valley in a welcoming, family-friendly environment that helps kids feel comfortable and engaged throughout their visit.
Is it time for your child’s next eye exam? Contact us today to schedule your appointment.
When Should Your Kids Have an Eye Exam?
Vision develops quickly during childhood, which is why regular eye exams are so important, even if your child does not complain about their vision. We typically recommend:
- Exams during the first month of life, if there are developmental or visual concerns
- A routine eye exam around 9 to 10 months old
- Additional exams around ages 3 and 5
- Annual eye exams afterward, or more frequently, depending on your child’s needs
Some children may require a customized exam schedule based on visual development, learning concerns, eye coordination issues, or myopia progression.

Why Pediatric Eye Exams Matter
Many childhood vision problems can develop without obvious symptoms. Children often assume the way they see is normal, even when there are underlying issues affecting their comfort, learning, or development.
A comprehensive pediatric eye exam allows us to evaluate:
- Visual clarity and prescription needs
- Eye tracking and focusing skills
- Eye teaming and coordination
- Overall eye health and development
Because vision is closely connected to learning and development, identifying concerns early can make a significant difference both inside and outside the classroom.

Common Vision Conditions We Evaluate
Common Refractive Errors
We diagnose and manage common vision problems, including:
- Nearsightedness (myopia)
- Farsightedness (hyperopia)
- Astigmatism
These conditions can affect reading, attention, school performance, and overall visual comfort.
Amblyopia (Lazy Eye)
Amblyopia develops when one eye does not communicate properly with the brain, leading to reduced vision development. Early detection is important because treatment is most effective during childhood.
Strabismus
Strabismus occurs when the eyes do not align properly. This can affect depth perception, coordination, and visual comfort if left untreated.
Myopia Control for Children
Myopia, or nearsightedness, is becoming increasingly common in children and often progresses as they grow. At 20Twenty Eyecare, we offer personalized myopia management options designed to help slow progression and support long-term eye health, including:
- Orthokeratology (Ortho-K)
- Low-dose atropine therapy
- MiSight contact lenses
- Stellest lenses
Our team will recommend the most appropriate treatment based on your child’s age, prescription, and lifestyle.


Vision Therapy Through Vital Vision Therapy
Some children struggle with visual skills that affect reading, focus, eye coordination, or visual processing, even when they can technically “see clearly.” Through Vital Vision Therapy, we provide customized vision therapy programs designed to strengthen how the eyes and brain work together.
Vision therapy may help children experiencing:
- Symptoms during reading or schoolwork
- Eye tracking difficulties
- Focus and attention challenges
- Visual processing concerns
- Eye-teaming problems

An Engaging Experience for Your Little Ones
We know eye exams can feel unfamiliar for children, which is why we focus on creating a positive and engaging experience from start to finish.
Our office includes:
- A dedicated kids’ area for siblings and children during dilation
- Games and interactive elements throughout the exam
- Prizes and encouragement to help children feel relaxed and confident
Our goal is to make eye care feel approachable, supportive, and engaging.
Helping Children Build Strong Visual Foundations
Healthy vision plays an important role in your child’s development, confidence, learning, and everyday comfort. At 20Twenty Eyecare, we provide pediatric eyewear and contact lens options designed for active, growing children, including durable frames and specialty lenses for myopia management.
Our team takes the time to help families find solutions that support clear, comfortable vision while fitting your child’s lifestyle and needs.
Book your child’s eye exam today and give them the support they need for healthy vision and development.
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Come Visit Us in Bozeman
Our Address
Contact Information
- Phone: 406-522-8888
- Fax: 406-404-1885
- Email: info@20twentymt.com
Hours of Operation

What People Are Saying
Testimonials
I had a great experience at 20twenty eyecare from start to finish. Dr. Blom and Cora were friendly, knowledgeable, and great to work with. Cora was fantastic when helping me pick out and fit my frames. She picked out frames that would best suit my face and made sure everything fit comfortably. I’m really happy with my experience and would definitely recommend them to anyone!
Bailey
I was very well taken care of at 20Twenty. Dr Blom and the staff were great. I felt the exam was very thorough and not rushed. Dr Blom spent a lot of time with me and was very good at explaining my tests. I would highly recommend him. He has also taken excellent care of my daughter. Much appreciated.
Wally
What a kind and professional staff! I felt heard and allowed to ask questions. The office was very clean and with today’s health concerns, that is important. My Dr. was thorough and I felt well taken care of. I was grateful that my annual vision health was taken seriously with Professionalism. A patient of 4 years.
April
20Twenty Eyecare is the very best that I have experienced anywhere. All of the staff, from the front desk to the examining rooms and the opticians are very professional, extremely knowledgeable, and always willing to explain what they are doing and answer questions. They are always very thorough and get it right the first time. Thank you for a very pleasant experience each time that I visit.