DR. Kenny Ray Blackston, O.D.

NPI #1740286301 in Opp, Alabama

Provider Information

NPI Number: 1740286301
Entity Type: Individual
Name: DR. Kenny Ray Blackston, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 28, 2005
Last Updated: Jan 17, 2008

Practice Location

Address: 102 W COVINGTON AVE
City: Opp
State: Alabama
ZIP Code: 36467-2033
Phone: (334) 774-9396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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D & J Optical INC	Optometrist	Opp	AI Deep Dive
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