| NPI | 1750086971 |
|---|---|
| Doing Business As | EYE AND COFFEE GUY |
| Entity Type | Organization |
| Authorized Contact | GRACE TEGENKAMP Sole Member 850-434-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |