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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON DAVENPORT INC.

Active Organization

JACKSON DAVENPORT INC. is a Optometrist organization located in CHARLESTON, South Carolina. NPI 1073688602 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CHARLESTON, SC

Registration Details

NPI Number
1073688602
Provider Type
Organization
NPI Issued
Nov 21, 2006 (19.724080820202 yrs)
Last Updated
Jul 16, 2014
Licenses
152 (SC)
509 (SC)
501 (SC)
509 (SC)

Practice Information

Address
379 KING ST
CHARLESTON, SC, 294011438
Browse SC providers · Browse ZIP 29401
Phone
8437224416
Fax
8437208984
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optician, Dispensing
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.