ECP Hierarchy: Where are you?

Through the years of working with Eye Care Providers (ECPs), it has become clear that there are 4 levels of providers in Optometry.   Some ECPs choose their level or mode of practice and run with it.  For others, it is based on the market conditions, training and choices in where they practice.   What is clear, there is a smaller percentage who are working up the pyramid towards practicing at the full scope of their licensure.    Where are you? ECP Hierarchy...