Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNY RAY BLACKSTON, O.D.
ActiveDR. KENNY RAY BLACKSTON, O.D. is a Optometrist healthcare provider located in OPP, Alabama. NPI 1740286301 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OPP, AL
Registration Details
- NPI Number
- 1740286301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (20.949001368043 yrs)
- Last Updated
- Jan 17, 2008
- License
-
S950-TA-529 (AL)
Practice Information
- Address
-
102 W COVINGTON AVEOPP, AL, 364672033Browse AL providers · Browse ZIP 36467
- Phone
- 3347749396
- Fax
- 3347741459
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in OPP, AL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSHUA JONATHAN DRIVER | O.D. | 1972679033 |
| DR. ANDREW SCOTT CARTER | O.D. | 1932653722 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.