Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Davenport Inc

Organization Optometrist · NPI 1073688602

Jackson Davenport Inc is an Optometrist in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

379 King St
Charleston, SC 29401-1438
Phone: (843) 722-4416
Fax: (843) 720-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 509 (SC)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 509 (SC)
Contact Lens Fitter Taxonomy 156FC0801X · Licence 152 (SC)
Optician Taxonomy 156FX1800X · Licence 501 (SC)

Record details

NPI number1073688602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Davenport — Manager · (843) 722-4416
NPI enumeratedNovember 21, 2006
Last updated in NPPESJuly 16, 2014
Mailing addressPo Box 20236, Charleston, SC 29413-0236

Other providers in Charleston