NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jackson Davenport Vision, Inc.

Optometrist in Summerville, SC · enumerated 2006 · authorized official Kenneth Davenport, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184719387

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Jackson Davenport Vision, Inc.
Practice address 218 Old Trolley Rd, Summerville, SC, 29485
Phone (843) 871-9750
Fax (843) 873-6197
Enumeration date Oct 4, 2006
Last updated in NPPES May 25, 2026

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 589 (SC) Secondary
152W00000X Optometrist Eye and Vision Services Providers Primary
156FX1800X Optician Eye and Vision Services Providers · License 686 (SC) Secondary

Authorized official

Name Kenneth Davenport
Title President
Phone (843) 871-9750

Other identifiers

Identifier Type State Issuer
DA9858 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Jackson Davenport Vision, Inc.?
NPPES lists Kenneth Davenport (President) as the authorized official for this organization.
What is the NPI number for Jackson Davenport Vision, Inc.?
The NPI for Jackson Davenport Vision, Inc. is 1184719387, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-25.