Active NPI
Ivo Horak OD PC
- Optometrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1556
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley Kott
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Marietta, GA
- NPI 1396791935
-
- Student in an Organized Health Care Education/Training Program
- Athens, AL
- NPI 1265831002
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.