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

Jackson Davenport Vision, Inc

Organization Optometrist · NPI 1184719387

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

Licensed in
SC
In the registry since
2006
Specialties on file
3
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

218 Old Trolley Rd
Summerville, SC 29485-4929
Phone: (843) 871-9750
Fax: (843) 873-6197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Optometrist Taxonomy 152W00000X · Licence 589 (SC)
Optician Taxonomy 156FX1800X · Licence 686 (SC)

Record details

NPI number1184719387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Davenport — President · (843) 871-9750
NPI enumeratedOctober 4, 2006
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026
Mailing address218 Old Trolley Rd, Summerville, SC 29485-4929

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