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 |
By nature of payment
Frequently asked questions
What is Dr. Ethan Chan's medical specialty?
Dr. Ethan Chan practices Optometrist in New York, NY.
Where does Dr. Ethan Chan practice?
Dr. Ethan Chan practices at 1153 2Nd Ave, New York, NY 100658505. Office phone: 2124213655.
What is Dr. Ethan Chan's NPI?
Dr. Ethan Chan's National Provider Identifier (NPI) is 1710671565, issued by NPPES.