Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenny Ray Blackston, OD

Individual provider Optometrist · NPI 1740286301

Dr. Kenny Ray Blackston, OD is an Optometry in Opp, Alabama. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
26
Licensed in
AL
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

102 W Covington Ave
Opp, AL 36467-2033
Phone: (334) 774-9396
Fax: (334) 774-1459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence S950-TA-529 (AL)

Record details

NPI number1740286301
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Opp