Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Chan, OD

Individual provider Optometrist · NPI 1710671565

Dr. Ethan Chan, OD is an Optometrist in New York, New York. Licensed in Nevada and New York. Registered with an NPI since 2023.

Licensed in
NV, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1153 2nd Ave
New York, NY 10065-8505
Phone: (212) 421-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1164 (NV)
Optometrist Taxonomy 152W00000X · Licence ORT010014 (NY)

Record details

NPI number1710671565
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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