Healthcare Provider Details

I. General information

NPI: 1962846170
Provider Name (Legal Business Name): GRACE C. SHIH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 8TH AVE STE 3A
ANCHORAGE AK
99501-3656
US

IV. Provider business mailing address

235 E 8TH AVE STE 3A
ANCHORAGE AK
99501-3656
US

V. Phone/Fax

Practice location:
  • Phone: 907-569-1551
  • Fax: 907-569-1564
Mailing address:
  • Phone: 907-569-1551
  • Fax: 907-569-1564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number133190
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number133190
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: