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 13 May, 2024.