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Originally Posted by Spexxvet
S/He will take appropriate, accurate measurements, and when the glasses are made, s/he will ensure their accuracy. Then the Optician will custom fit the eywear to you, and will adjust your glasses if they ever come out of adjustment.
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I got my first pair of glasses at 3 years old. For the next 6 years, I wore the wrong prescription, because every single time I went in for my eye exam, I squinted as hard as I could to figure out what the letters on the chart were--because I was told it was "a test" and you're supposed to do as well as you can on tests. I had two eye doctors during this time, and neither of them ever told me not to squint, to just see what I could really see. What's more, you can look at old photos of me and clearly see that the two sets of frames I wore during this time did not even come close to fitting my face.
Then I found a good eye doctor, and I have stayed with him. But still, he is not the one in charge of seeing people in the frames department, and in my adulthood that person sold me yet another pair of ill-fitting glasses after a 10-year stint of contacts followed by LASIK. It wasn't until I made my husband (who has always chosen well-fitting glasses) come in with me to get a new pair that he informed both of us the reason none of the frames fit me is because my face bones are small and I need to be shopping in the kids' frame section. The woman was a little shocked at the idea, but he was totally right.
All of which is to say,
good opticians certainly do the things you list above. But good opticians may be rarer than you think.