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

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1710671565. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$510
Transactions
9
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Alcon Vision LLC 9 $510.31

By nature of payment

Food and Beverage
$510