Jackson Davenport Inc. in Charleston - Contact Lens Fitter
Jackson Davenport Inc. - NPI 1073688602
Jackson Davenport Inc. is a Contact Lens Fitter in Charleston, South Carolina. Jackson Davenport Inc. practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Jackson Davenport Inc. is 1073688602. The last update date is 2014-07-16.
Jackson Davenport Inc.'s current location address is Po Box 20236, Charleston, South Carolina. You can contact this provider via phone number 8437224416 and fax number 8437208984. The mailing address for Jackson Davenport Inc. is Po Box 20236, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Davenport Inc. |
|---|---|
| Address | Po Box 20236, Charleston, South Carolina |
| Phone Number | 8437224416 |
| Fax Number | 8437208984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Davenport Watkins Nancy |
| Telephone Number | 8437224416 |
NPI Number Detail
| NPI Number | 1073688602 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2014-07-16 |
Provider Mailing Address Detail
| Address | Po Box 20236 |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294130236 |
| Phone Number | 8437224416 |
| Fax Number | 8437208984 |
Provider's Primary Taxonomy Detail
| Speciality | Contact Lens Fitter |
|---|---|
| Taxonomy | 156Fc0801X |
| Licence No | 152 |
|
Definition: An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62167 | SC | FIRST CHOICE | |
| DA9859 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jackson Davenport Inc. by the Centers for Medicare & Medicaid Services?
The Jackson Davenport Inc. has been assigned the NPI (National Provider Identifier) 1073688602 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jackson Davenport Inc. is geographically located?
The Jackson Davenport Inc. is physically situated at the following location: Po Box 20236, Charleston, SC, 294130236.
What is Jackson Davenport Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Davenport Inc. is Contact Lens Fitter, and the taxonomy code that classifies this field of practice is 156Fc0801X.
On what date did the Jackson Davenport Inc. receive its 1073688602 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Davenport Inc. was assigned its 1073688602 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information regarding Jackson Davenport Inc. most recently updated?
The details pertaining to the Jackson Davenport Inc., including its address, specialty, and other relevant information, were last refreshed on 2014-07-16.