NPI 1184719387

Jackson Davenport Vision, INC.

Organisation Optometrist Summerville, SC

Practice location

Address: 218 Old Trolley Rd, Summerville, SC 29485-4929
Phone: (843) 871-9750
Fax: (843) 873-6197

Authorised official

Name: Kenneth Richard Davenport
Title: President
Phone: (843) 871-9750

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in South Carolina →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 589 (SC)

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 686 (SC)

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1184719387
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 25 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.