GRACE S SHIN (NPI# 1063501500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063501500 |
| Entity Type | Individual |
| Full Name | GRACE S SHIN |
| Credential | M.D. |
| Practice Address |
6028 S Fort Apache Rd Ste 101 Las Vegas NV 89148-5612 |
| Practice Telephone | (702) 896-2020 |
| Practice Fax Number | 7028962025 |
| Mailing Telephone | 7028962020 |
| Mailing Fax Number | 7028962025 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 7373 | NV | Allopathic & Osteopathic Physicians |
| Y | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
7373 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002019646 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558624452 | Grace Shin | Specialist | 5 Russell Dr, Mineola, NY 11501-4734 | 2012-06-17 |
| 1295724565 | Grace Eun Jin Shin | Dentist | 4823 Little Neck Pkwy, Little Neck, NY 11362-1432 | 2005-10-19 |
| 1154942464 | Grace Shin | Student in an Organized Health Care Education/Training Program | 243 Charles St, Boston, MA 02114-3002 | 2020-04-28 |
| 1508397431 | Grace Shin | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2017-03-22 |
| 1376972638 | Grace Shin | Student in an Organized Health Care Education/Training Program | 1453 16th St, Santa Monica, CA 90404-2715 | 2013-11-07 |
| 1124318217 | Grace H Shin | Internal Medicine | 3401 N Broad St, Department of Gastroenterology & Hepatology, Philadelphia, PA 19140-5103 | 2011-04-11 |
| Street Address |
6028 S FORT APACHE RD STE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164668661 | Grace S Shin Md Ltd Dba Ideal Eyecare | Ophthalmology | 6028 S Fort Apache Rd Ste 101, Las Vegas, NV 89148 | 2009-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 207WX0110X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Pediatric Ophthalmology and Strabismus Specialist |
| An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.