KENNY RAY BLACKSTON, O.D

NPI: 1740286301 · Individual · Active

Primary Specialty

Optometrist

Practice Location

102 W COVINGTON AVE
OPP, AL 36467-2033 Map ↗
Phone: 334-774-9396
Fax: 334-774-1459

All Specialties & Licenses

  • Optometrist Primary (license: S950-TA-529, AL)

NPI Registration

Enumerated: 2005-06-28

Last CMS Update: 2008-01-17