Ivo Horak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1556 Issued in GA

Practice address

47 Gramling St SE
Marietta, GA 30008-2517

Phone

(770) 436-9123

Fax

(770) 436-9193

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivo Horak OD PC

  • Optometrist
  • Marietta, GA
  • NPI 1326083494
  Medicare reassignment NPD
• Star Optometry Ga LLC

  dba InFocus Eyecare

  • Optometrist
  • Cumming, GA
  • NPI 1528944451
  Medicare reassignment NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1396791935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 GRAMLING ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300082517",
            "telephone_number": "770-436-9123",
            "fax_number": "770-436-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Powder Springs Rd SW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300644848",
            "country_code": "US",
            "telephone_number": "770-436-9123",
            "fax_number": "770-436-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAK",
        "first_name": "IVO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267216858A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267216858B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Hopkins-Naylor, PSY.D.
• David Bancroft Hopkins, LPC
• Lucas Thade Hopkins
• Jeff Hopp, ATC
• Andilyn Nichole Horak, LPC
• Brett Samuel Horgan, D.O.
• Joseph Hormes, M.D., M.P.H.
• Joseph T Hormes, M.D.
• Christian Horn
• Christopher Martin Horn, M.D.

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.