Jackson Davenport Vision, Inc.
LBN: Jackson Davenport Vision, Inc.
Jackson Davenport Vision, Inc. is an health care organization with primary practice located at 218 Old Trolley Rd , Summerville SC 29485-4929. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Jackson Davenport Vision, Inc. can be contacted via phone (843) 871-9750, or through Davenport, Kenneth Richard via phone (843) 871-9750.
Contact Information
Primary practice address
218 Old Trolley Rd
Summerville SC 29485-4929
Phone: (843) 871-9750
Fax: (843) 873-6197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 589 | South Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | 686 | South Carolina |
Profile Details
| NPI number | 1184719387 |
|---|---|
| LBN Legal business name | Jackson Davenport Vision, Inc. |
| DBA Doing business as | |
| Authorized official | Davenport, Kenneth Richard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 7th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184719387 | NPPES |
| South Carolina | MEDICAID | DA9858 |
Popular Providers
-
Catherine E. Kister, O.D. Llc
1112 N Main St Ste E , Summerville SC 29483-7315 -
Donald J Koets
206 E 2Nd North St , Summerville SC 29483-6858 -
James F. Deavers, Od, Pa
11317 North Main Street , Summerville SC 29483 -
Monarch Eye Care Llc
221 Forsythia Ave , Summerville SC 29483-5368 -
Jackson Davenport Vision Services , Llc
101 Old Trolley Rd , Summerville SC 29485-4908 -
Flowertown Family Vision Care, Llc
105 S. Cedar St. Suite F, Summerville SC 29483-6078 -
Daniel D Coyle Od
174 Beauregard Rd , Summerville SC 29483-2089 -
Special Care Vision Of Sc, Llc
717 Trolley Road , Summerville SC 29485