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Kenny R Blackston Od PC

Optometrist in Andalusia, AL · enumerated 2007 · authorized official Stephanie Blackston, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710028618

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Registry record

Entity type Organization (Type 2)
Legal business name Kenny R Blackston Od PC
Other name <Unavail>
Practice address 1306 River Falls St, Andalusia, AL, 36421
Phone (334) 222-6325
Enumeration date Feb 12, 2007
Last updated in NPPES Aug 26, 2024

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License S-950-TA-529 (AL) Primary

Authorized official

Name Stephanie Blackston
Title Office Manager
Phone (334) 222-6325

Other identifiers

Identifier Type State Issuer
0515-19208 Other AL BLUE CROSS
009943415 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenny R Blackston Od PC?
The NPI for Kenny R Blackston Od PC is 1710028618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kenny R Blackston Od PC?
NPPES lists Stephanie Blackston (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-26.