National Provider Identifier Database

KENNY R BLACKSTON, OD – NPI #1740286301
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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.


Contact Information

KENNY R BLACKSTON, OD
102 W COVINGTON AVE
OPP, AL36467-2033
Phone: 334-774-9396
Fax: 334-774-1459
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KENNY R BLACKSTON

NPI Number 1740286301
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2005
Last updated 01/17/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • AL License #: S950-TA-529
  • AL Other: 22-10508 UNITED HEALTH CARE PROV #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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