Grace S Shin MD LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7373 Issued in NV

Legal business name

GRACE S SHIN MD LTD

Doing business as

Ideal EyeCare

Practice address

6028 S Fort Apache Rd Ste 101
Las Vegas, NV 89148

Phone

(702) 896-2020

Fax

(702) 896-2025

NPI assigned

Jan 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer L Bratten

Title

Manager

Phone

(702) 896-2020

Specialties & licenses 1

Addresses

Other names 1

• Ideal EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace S Shin, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Las Vegas, NV
  • NPI 1063501500
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1164668661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485612",
            "telephone_number": "702-896-2020",
            "fax_number": "702-896-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S FORT APACHE RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-896-2020",
            "fax_number": "702-896-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE S SHIN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "BRATTEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-896-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace of Angel Park LLC (Grace of Monaco Angel Park)
• Grace of Monaco LLC (Paradiso)
• Grace Ranch
• Grace Rehab Center Corp (United Staes)
• Grace Rehab Center Corp
• Angela Grace
• Brian Edward Grace, PA
• Charles Grace
• Christina Grace
• Dareon Grace

• Ophthalmology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.