IndividualActive
Kenny Blackston, O.D.
NPI 1740286301 · Optometrist · Opp, AL
Provider details
- NPI number
- 1740286301
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- S950-TA-529 (AL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
102 W Covington Ave
Opp, AL 36467-2033
Phone: (334) 774-9396
Fax: (334) 774-1459
Approximate (ZIP-level) locationGet directions
Mailing address
102 W Covington Ave
Opp, AL 36467-2033
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.