BLACKSTON QUALITY EYE CARE
NPI 1710028618
Optometrist in Andalusia, AL

Active since February 12, 2007
1306 RIVER FALLS ST, ANDALUSIA, AL 36421(334) 222-6325 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blackston Quality Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSTON QUALITY EYE CARE (NPI 1710028618) is a healthcare organization registered as an optometrist in Andalusia, Alabama and active in the NPI registry since February 2007. The organization lists Stephanie Blackston, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710028618
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENNY R BLACKSTON OD PC
Location Address1306 RIVER FALLS STAndalusia, AL 36421-2081
Mailing AddressPo Box 638Andalusia, AL 36420-1212 · (334) 222-6325
Organization SubpartNo
Authorized OfficialStephanie BlackstonOffice Manager · (334) 222-6325
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1710028618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AL · S-950-TA-529
Definition

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.

1306 RIVER FALLS ST, Andalusia, AL 36421

Other Names 1

Other NameBlackston Quality Eye Care

Other Identifiers 2

Other0515-19208AL · Blue Cross
Medicaid009943415AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Kenny R Blackston Od PC carries, from the Medicare DMEPOS supplier directory.

Kenny R Blackston Od PC

DMEPOS supplier · Andalusia, AL

Accepts Medicare assignment

Kenny R Blackston Od PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)24548196
Medicare Participant SinceJanuary 30, 2004
Supplier Location1306 River Falls StAndalusia, AL 36421
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny R Blackston Od PC's NPI number?

The NPI number for Kenny R Blackston Od PC is 1710028618. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Kenny R Blackston Od PC located?

Kenny R Blackston Od PC is located at 1306 River Falls St, Andalusia, AL 36421. The listed phone number is (334) 222-6325.

What is Kenny R Blackston Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Kenny R Blackston Od PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kenny R Blackston Od PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kenny R Blackston Od PC was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.