Jackson Davenport Vision, Inc. is a Optometrist Center in Summerville, South Carolina. It is situated at 218 Old Trolley Rd, Summerville and its contact number is 843-871-9750. The authorized person of Jackson Davenport Vision, Inc. is Mr. Kenneth Richard Davenport Ii
who is President of the clinic and their contact number is 843-871-9750. Jackson Davenport Vision, Inc. Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Jackson Davenport Vision, Inc. Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
218 Old Trolley Rd, Summerville, South Carolina, 29485-4929
Phone:
843-871-9750
Fax:
843-873-6197
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Kenneth Richard Davenport Ii
Position:
President
Contact Number:
843-871-9750
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jackson Davenport Vision, Inc. Center are as mentioned below.
NPI Number:
1184719387
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
07 Aug, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Davenport Vision, Inc. are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Optometrist
589
South Carolina
Secondary
Optician
686
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DA9858
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jackson Davenport Vision, Inc. 218 Old Trolley Rd, Summerville, South Carolina
Zip:
29485-4929
Phone Number:
843-871-9750
Fax Number:
843-873-6197
Patients can reach Jackson Davenport Vision, Inc. at 218 Old Trolley Rd, Summerville, South Carolina or can call to book an appointment on 843-871-9750. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.