Organization
IVO HORAK OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVO HORAK (OWNER/OPTOMETRIST)
(770) 436-9123
Entity
Organization
Contact information
Practice address
1750 POWDER SPRINGS RD SW STE 210, MARIETTA, GA 30064-4848
(770) 436-9123
(770) 436-9193
Mailing address
1750 POWDER SPRINGS RD SW STE 210, MARIETTA, GA 30064-4848
(770) 436-9123
(770) 436-9193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267216858A
—
GA
Enumeration date
06/20/2006
Last updated
03/08/2019
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