Ivo Horak Od Pc

LBN: Ivo Horak Od Pc
Ivo Horak Od Pc is an health care organization with primary practice located at 1750 Powder Springs Rd Sw Ste 210 , Marietta GA 30064-4848. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ivo Horak Od Pc can be contacted via phone (770) 436-9123, or through Horak, Ivo via phone (770) 436-9123.

Contact Information

Primary practice address
1750 Powder Springs Rd Sw Ste 210 Marietta GA 30064-4848
Phone: (770) 436-9123
Fax: (770) 436-9193
Website:
Map and Directions
Authorized official contact:
Name: Horak, Ivo
Phone: (770) 436-9123

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1556 Georgia

Profile Details

NPI number 1326083494
LBN Legal business name Ivo Horak Od Pc
DBA Doing business as
Authorized official Horak, Ivo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326083494 NPPES
Georgia MEDICAID 267216858A

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