Individual
DR. EDVIN MANNIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9499 SHERIDAN BLVD, WESTMINSTER, CO 80031-6532
(303) 427-0998
(303) 412-0619
Mailing address
641 E BATES AVE, ENGLEWOOD, CO 80113-1661
(303) 806-9513
(303) 691-9129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
779
CO
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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