Organization
MY EYE GUY LLC
Active
Other names
Eye and Coffee Guy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE TEGENKAMP OD (SOLE MEMBER)
(850) 434-6387
Entity
Organization
Contact information
Practice address
6677 N DAVIS HWY, PENSACOLA, FL 32504-6386
(850) 434-6387
Mailing address
6677 N DAVIS HWY, PENSACOLA, FL 32504-6386
(850) 434-6387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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