Jackson Davenport Vision, Inc. - Optometrist in Summerville, SC

Jackson Davenport Vision, Inc. is a Optometrist based in Summerville, South Carolina. Jackson Davenport Vision, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is 218 Old Trolley Rd, Summerville, South Carolina. It can be reached at their office (for appointments etc.) via phone at (843) 871-9750.

NPI number for Jackson Davenport Vision, Inc. is 1184719387 and their current mailing address is 218 Old Trolley Rd, Summerville, South Carolina. Jackson Davenport Vision, Inc. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184719387.

Contact Information

Jackson Davenport Vision, Inc.
218 Old Trolley Rd,
Summerville, SC 29485-4929
(843) 871-9750
(843) 873-6197



Healthcare Provider's Profile

Full NameJackson Davenport Vision, Inc.
TypeFacility
SpecialityOptometrist
Location218 Old Trolley Rd, Summerville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184719387
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 08/07/2023

Medical Identifiers

Medical identifiers for Jackson Davenport Vision, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184719387NPI-NPPES
DA9858MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 589 (South Carolina)Secondary
152W00000XOptometrist (* (Not Available))Primary
156FX1800XTechnician/technologist - Optician 686 (South Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Davenport Vision, Inc. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Davenport Vision, Inc.
218 Old Trolley Rd,
Summerville, SC 29485-4929

Ph: (843) 871-9750
Jackson Davenport Vision, Inc.
218 Old Trolley Rd,
Summerville, SC 29485-4929

Ph: (843) 871-9750

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› Verified 2 days ago


Optometrist in Summerville, SC

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Practice Location: 717 Trolley Road, Summerville, SC 29485
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