KENNY R BLACKSTON OD PC

ANDALUSIA, AL
NPI1710028618
Other NameBLACKSTON QUALITY EYE CARE
Entity TypeOrganization
Authorized ContactSTEPHANIE BLACKSTON
Office Manager
334-222-6325
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S-950-TA-529)
Enumeration Date2007-02-12
Last Update Date2010-03-08
Business Address
KENNY R BLACKSTON OD PC
106 HILLCREST DR
ANDALUSIA, AL 36420-2562
Phone number: 334-222-6325
Mailing Address
KENNY R BLACKSTON OD PC
PO BOX 638
ANDALUSIA, AL 36420-1212
Phone number: 334-222-6325