DR. JOHN S ETTENSON MD
NPI 1396714820
Ophthalmology in Rye, NY

Active since March 16, 2006
1 THEALL RD, RYE, NY 10580(914) 848-8800(914) 682-6403 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John S Ettenson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN S ETTENSON MD (NPI 1396714820) is an individual ophthalmology provider in Rye, New York, licensed in New York (174308-1) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1396714820
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN S ETTENSONCredential: MD
Location Address1 THEALL RDRye, NY 10580-1404
Mailing Address210 Westchester AveWhite Plains, NY 10604-2901 · (914) 681-3146 · Fax (914) 682-6403
Fax(914) 682-6403
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateOctober 16, 2013
NPI 1396714820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 174308-1 Licensed in CT · 041999
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1 THEALL RD, Rye, NY 10580

Other Identifiers 5

Medicare UPINC06822NY
Other21E601NY · Empire Bcbs
Medicare ID-Type Unspecified21E601NY
Other133757245NY · Cigna
Medicaid01072893NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1 THEALL RD
RYE, NY 10580
Internal Medicine (Cardiovascular Disease)
1 THEALL RD
RYE, NY 10580
Obstetrics & Gynecology
1 THEALL RD
RYE, NY 10580
Nurse Practitioner (Family)
1 THEALL RD
RYE, NY 10580
Internal Medicine
1 THEALL RD
RYE, NY 10580
Physician Assistant
1 THEALL RD
RYE, NY 10580
Internal Medicine
1 THEALL RD
RYE, NY 10580
Nurse Practitioner (Family)
1 THEALL RD
RYE, NY 10580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ettenson's NPI number?

The NPI number for John Ettenson is 1396714820. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is John Ettenson located?

John Ettenson practices at 1 Theall Rd, Rye, NY 10580. The listed phone number is (914) 848-8800.

What is John Ettenson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for John Ettenson was last updated on October 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.