Jackson Davenport Inc. is a Technician/technologist (Contact Lens Fitter) Center in Charleston, South Carolina. It is situated at 379 King St, Charleston and its contact number is 843-722-4416. The authorized person of Jackson Davenport Inc. is Mrs. Nancy Watkins Davenport
who is Manager of the clinic and their contact number is 843-722-4416. Primary license number for Jackson Davenport Inc. is 509 (Optometrist) in South Carolina.
Jackson Davenport Inc. Center An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
Complete Center Profile:
Jackson Davenport 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: | Contact Lens Fitter, Technician/technologist |
| Clinic Address: | 379 King St, Charleston,
South Carolina, 29401-1438 |
| Phone: | 843-722-4416 |
| Fax: | 843-720-8984 |
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: | Mrs. Nancy Watkins Davenport |
| Position: | Manager |
| Contact Number: | 843-722-4416 |
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 Inc. Center are as mentioned below.
| NPI Number: | 1073688602 |
| NPI Enumeration Date: | 21 Nov, 2006 |
| NPI Last Update On: | 16 Jul, 2014 |
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 Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | 509 | South Carolina | Primary | |
| Contact Lens Fitter | 152 | South Carolina | Secondary | |
| Corneal and Contact Management | 509 | South Carolina | Secondary | |
| Optician | 501 | 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 |
| 62167 | Other | South Carolina | First Choice |
| DA9859 | 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 Inc.
Po Box 20236,
Charleston, South Carolina |
| Zip: | 29413-0236 |
| Phone Number: | 843-722-4416 |
| Fax Number: | 843-720-8984 |
Patients can reach Jackson Davenport Inc. at
379 King St, Charleston, South Carolina or can
call to book an appointment on 843-722-4416.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.