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JACKSON DAVENPORT INC.
NPI 1073688602
Optometrist in Charleston, SC

Active since November 21, 2006
379 KING ST, CHARLESTON, SC 29401(843) 722-4416(843) 720-8984 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Davenport Inc. NPPES

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

JACKSON DAVENPORT INC. (NPI 1073688602) is a healthcare organization registered as an optometrist in Charleston, South Carolina and active in the NPI registry since November 2006. The organization lists Nancy Watkins Davenport, Manager, as its authorized official.

NPPES Registry Identity

NPI1073688602
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJACKSON DAVENPORT INC.
Location Address379 KING STCharleston, SC 29401-1438
Mailing AddressPo Box 20236Charleston, SC 29413-0236 · (843) 722-4416 · Fax (843) 720-8984
Phone(843) 722-4416
Fax(843) 720-8984
Organization SubpartNo
Authorized OfficialNancy Watkins DavenportManager · (843) 722-4416
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1073688602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SC · 509
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 509 (SC)
Also ListedTechnician/Technologist · Contact Lens FitterTaxonomy 156FC0801X · License 152 (SC)
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License 501 (SC)
379 KING ST, Charleston, SC 29401
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Other Identifiers 3

Other62167SC · First Choice
Medicare ID-Type Unspecified1037240001SC
MedicaidDA9859SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jackson Davenport Inc.'s NPI number?

The NPI number for Jackson Davenport Inc. is 1073688602. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Jackson Davenport Inc. located?

Jackson Davenport Inc. is located at 379 King St, Charleston, SC 29401. The listed phone number is (843) 722-4416.

What is Jackson Davenport Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Davenport Inc. was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.