JACKSON DAVENPORT VISION, INC.
NPI 1184719387
Optometrist in Summerville, SC

Q: What is Jackson Davenport Vision, Inc.'s NPI number?

The NPI number for Jackson Davenport Vision, Inc. is 1184719387. It was assigned to this organization in the NPPES registry on October 4, 2006.

Q: What is Jackson Davenport Vision, Inc.'s specialty?

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

Active since October 04, 2006

218 OLD TROLLEY RD, SUMMERVILLE, SC 29485(843) 871-9750(843) 873-6197 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2026, Aug 7, 2023, Jul 28, 2023 and 2 more (5 updates tracked since 2018).

On this page

About Jackson Davenport Vision, Inc. NPPES

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

JACKSON DAVENPORT VISION, INC. (NPI 1184719387) is a healthcare organization registered as an optometrist in Summerville, South Carolina and active in the NPI registry since October 2006. The organization lists Kenneth Richard Davenport, President, as its authorized official.

NPPES Registry Identity

NPI1184719387

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJACKSON DAVENPORT VISION, INC.

Location Address218 OLD TROLLEY RDSummerville, SC 29485-4929

Mailing Address218 Old Trolley RdSummerville, SC 29485-4929 · (843) 871-9750 · Fax (843) 873-6197

Phone(843) 871-9750

Fax(843) 873-6197

Organization SubpartNo

Authorized OfficialKenneth Richard DavenportPresident · (843) 871-9750

Enumeration DateOctober 4, 2006

Last NPPES UpdateMay 25, 20265 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1184719387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 589

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 ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License 686 (SC)

218 OLD TROLLEY RD, Summerville, SC 29485

Open in Google Maps ↗

Other Identifiers 1

MedicaidDA9858SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA DAVENPORT OD

Optometrist

218 OLD TROLLEY RD
SUMMERVILLE, SC 29485

Dorchester County (843) 871-9750

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 Vision, Inc.'s NPI number?

The NPI number for Jackson Davenport Vision, Inc. is 1184719387. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Jackson Davenport Vision, Inc. located?

Jackson Davenport Vision, Inc. is located at 218 Old Trolley Rd, Summerville, SC 29485. The listed phone number is (843) 871-9750.

What is Jackson Davenport Vision, Inc.'s specialty?

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

What insurance does Jackson Davenport Vision, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of Tennessee list Jackson Davenport Vision, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Davenport Vision, Inc. was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.