Memorise the Vision 2020 pyramid by population served: 50,000 then 5 lakh then 50 lakh then 5 crore, rising tier by tier.
The base is the Primary Vision Centre at 50,000 people each. The next tier up is the Secondary Service Centre, and it serves 5 lakh, run by two ophthalmologists with eight paramedics and an eye care manager. Above that, Training Centres take 50 lakh and Centres of Excellence take 5 crore.
So 50,000 is the trap that belongs to the Vision Centre, while the Service Centre asked about covers 5 lakh. The answer is 5 lakh. Ref: Vision 2020 Right to Sight; NPCB.