GRACE S SHIN MD LTD
NPI 1164668661
Ophthalmology in Las Vegas, NV

Q: What is Grace S Shin MD Ltd's NPI number?

The NPI number for Grace S Shin MD Ltd is 1164668661. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is doing business as Ideal EyeCare.

Q: What is Grace S Shin MD Ltd's specialty?

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

Active since January 05, 2009

6028 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148(702) 896-2020(702) 896-2025 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2018, Mar 20, 2018, Jan 9, 2018 (3 updates tracked since 2018).

On this page

About Grace S Shin Md Ltd NPPES

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

GRACE S SHIN MD LTD (NPI 1164668661), doing business as Ideal Eyecare, is a healthcare organization registered as an ophthalmology in Las Vegas, Nevada and active in the NPI registry since January 2009. The organization lists Jennifer L Bratten, Manager, as its authorized official.

NPPES Registry Identity

NPI1164668661

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameGRACE S SHIN MD LTD

Location Address6028 S FORT APACHE RD STE 101Las Vegas, NV 89148

Mailing Address6028 S Fort Apache Rd Ste 101Las Vegas, NV 89148-5612 · (702) 896-2020 · Fax (702) 896-2025

Phone(702) 896-2020

Fax(702) 896-2025

Organization SubpartNo

Authorized OfficialJennifer L BrattenManager · (702) 896-2020

Enumeration DateJanuary 5, 2009

Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1164668661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NV · 7373

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.

6028 S FORT APACHE RD STE 101, Las Vegas, NV 89148

Open in Google Maps ↗

Other Names 1

Doing Business AsIdeal Eyecare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace S Shin Md Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace S Shin MD Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Grace Shin, M.D.

Ophthalmology

NPI 1063501500

6028 S FORT APACHE RD STE 101
Las Vegas, NV 89148

(702) 896-2020

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grace S Shin MD Ltd's NPI number?

The NPI number for Grace S Shin MD Ltd is 1164668661. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is doing business as Ideal EyeCare.

Where is Grace S Shin MD Ltd located?

Grace S Shin MD Ltd is located at 6028 S Fort Apache Rd Ste 101, Las Vegas, NV 89148. The listed phone number is (702) 896-2020.

What is Grace S Shin MD Ltd's specialty?

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

Is Grace S Shin MD Ltd enrolled in Medicare?

Yes. Grace S Shin MD Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace S Shin MD Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Grace S Shin MD Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grace S Shin MD Ltd was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.