Organization Active NPI

Ivo Horak OD PC

  • Optometrist
  • Marietta, GA
National Provider Identifier
1326083494
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1556 Issued in GA
Legal business name
IVO HORAK OD PC
Practice address
1750 Powder Springs Rd SW Ste 210
Marietta, GA 30064-4848
Phone
(770) 436-9123
Fax
(770) 436-9193
NPI assigned
Jun 20, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelley KottNPI 1265831002
Title
RCM Manager
Phone
(256) 795-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1556 GA Primary

Addresses

Primary practice location

1750 Powder Springs Rd SW Ste 210
Marietta, GA 30064-4848

Mailing address

110 College St Ste E
Athens, AL 35611-2714
Phone (256) 795-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000120 GA Part B Supplier - Clinic/Group Practice 5698673572 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

1757 E West Connector
Ste 400
Austell, GA 30106
Phone (770) 941-2220

47 Gramling St SE
Unit 2
Marietta, GA 30008

735 Windy Hill Rd SE
Smyrna, GA 30080
Phone (770) 432-7676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1326083494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714",
            "telephone_number": "256-795-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 POWDER SPRINGS RD SW STE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644848",
            "telephone_number": "770-436-9123",
            "fax_number": "770-436-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVO HORAK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "256-795-2559"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.