DR. KENNY RAY BLACKSTON O.D. NPI 1740286301

NPI Information

  • NPI: 1740286301
  • Provider Name: DR. KENNY RAY BLACKSTON, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 W COVINGTON AVE
    OPP, AL
    ZIP 36467
  • Phone: (334) 774-9396

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NPI Details

DR. Kenny Ray Blackston, O.D. is an optometrist in Opp, AL with 26 years of experience. The provider is 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Kenny Ray Blackston, O.D. NPI is 1740286301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 W COVINGTON AVE
OPP, AL
ZIP 36467-033
Phone: (334) 774-9396
Fax: (334) 774-1459

The NPI 1740286301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Photography of the retina (HCPCS:92250)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of retinal and optic nerve function (HCPCS:92273)
  • Imaging of optic nerve (HCPCS:92133)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 6/28/2005 and was last updated on 1/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristS950-TA-529ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U81698MEDICARE UPINALABAMA
222-10508OTHERALABAMAUNITED HEALTH CARE PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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