Doctor profile · Federal record
Dr. ETHAN CHAN, O.D.
Optometrist · Optometrist · NEW YORK, NY
- NPI 1710671565
- 3 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1153 2ND AVE
NEW YORK, NY 100658505
(212) 421-3655 - Mailing address
-
2840 JACKSON AVE APT 12M
LONG ISLAND CITY, NY 111013304
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Profile last updated
- September 12, 2024
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Nevada #1164 · New York #ORT010014
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710671565. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$510
Transactions
9
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 9 | $510.31 |