{"result_count":1,"results":[{"addresses":[{"address_1":"218 OLD TROLLEY RD","address_purpose":"LOCATION","address_type":"DOM","city":"SUMMERVILLE","country_code":"US","country_name":"United States","fax_number":"843-873-6197","postal_code":"294854929","state":"SC","telephone_number":"843-871-9750"},{"address_1":"218 OLD TROLLEY RD","address_purpose":"MAILING","address_type":"DOM","city":"SUMMERVILLE","country_code":"US","country_name":"United States","fax_number":"843-873-6197","postal_code":"294854929","state":"SC","telephone_number":"843-871-9750"}],"basic":{"authorized_official_first_name":"KENNETH","authorized_official_last_name":"DAVENPORT","authorized_official_middle_name":"RICHARD","authorized_official_name_prefix":"Mr.","authorized_official_name_suffix":"II","authorized_official_telephone_number":"8438719750","authorized_official_title_or_position":"President","certification_date":"2026-05-25","enumeration_date":"2006-10-04","last_updated":"2026-05-25","organization_name":"JACKSON DAVENPORT VISION, INC.","organizational_subpart":"NO","status":"A"},"created_epoch":"1159953670000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"DA9858","issuer":null,"state":"SC"}],"last_updated_epoch":"1779723065000","number":"1184719387","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":"589","primary":false,"state":"SC","taxonomy_group":"193200000X - Multi-Specialty Group"},{"code":"156FX1800X","desc":"Technician/Technologist, Optician","license":"686","primary":false,"state":"SC","taxonomy_group":"193200000X - Multi-Specialty Group"},{"code":"152W00000X","desc":"Optometrist","license":null,"primary":true,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"}]}]}