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Organization

GRACE S SHIN MD LTD

Active
Other names
Ideal EyeCare
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L BRATTEN (MANAGER)
(702) 896-2020
Entity
Organization

Contact information

Practice address
6028 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148
(702) 896-2020
(702) 896-2025
Mailing address
6028 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148-5612
(702) 896-2020
(702) 896-2025

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7373
NV

Other

Enumeration date
01/05/2009
Last updated
08/21/2025
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