BLACKSTON QUALITY EYE CARE
NPI 1710028618
Optometrist in Andalusia, AL
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackston Quality Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blackston Quality Eye Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ALAccepts 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.
Medicare Product Categories
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. The provider is also known as Blackston Quality Eye Care.
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.
Is Kenny R Blackston Od PC enrolled in Medicare?
Yes. Kenny R Blackston Od PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenny R Blackston Od PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kenny R Blackston Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blackston Quality Eye Care · NPI 1710028618
Optometrist organization in Andalusia, Alabama. Organization record, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1710028618 (Entity type: Organization)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Kenny R Blackston Od Pc
- **Organization subpart:** No
- **Authorized official:** Stephanie Blackston, OFFICE MANAGER
## Practice location
- **Address:** 1306 RIVER FALLS ST, Andalusia, AL 36421-2081
- **Phone:** (334) 222-6325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
- **Other identifiers:** Other 0515-19208 (AL); Medicaid 009943415 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1710028618) · Data from the CMS NPPES public registry.