Dr. Kenny Ray Blackston is a Opp, Alabama based male Optometrist with 24 years of experience in Optometry. He completed his graduation from Other in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenny Ray Blackston is S950-TA-529 for Optometry in Alabama. Dr. Kenny Ray Blackston examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kenny Ray Blackston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
24+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
102 W Covington Ave, Opp, Alabama, 36467-2033
Phone:
334-774-9396
Fax:
334-774-1459
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1153216791
Enrollment ID:
I20040225000754
NPI Number:
1740286301
NPI Enumeration Date:
28 Jun, 2005
NPI Last Update On:
17 Jan, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenny Ray Blackston are as mentioned below.
License Number
Specialization
State
Status
S950-TA-529
Optometry
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenny Ray Blackston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
22-10508
Other
Alabama
UNITED HEALTH CARE PROV #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
102 W Covington Ave, Opp, Alabama
Zip:
36467-2033
Phone Number:
334-774-9396
Fax Number:
334-774-1459
Patients can reach Dr. Kenny Ray Blackston at 102 W Covington Ave, Opp, Alabama or can call to book an appointment on 334-774-9396. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.