Organization Active NPI

Davalt PLLC

  • Eyewear Supplier
  • Jacksonville, FL
National Provider Identifier
1477414415
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DAVALT PLLC
Practice address
45 W Bay St Ste 101
Jacksonville, FL 32202-3632
Phone
(904) 353-6229
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Ross, DO
Title
Owner
Phone
(904) 353-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

45 W Bay St Ste 101
Jacksonville, FL 32202-3632

Mailing address

45 W Bay St Ste 101
Jacksonville, FL 32202-3632

National Provider Directory

National Provider Directory

Locations

45 W Bay St
Ste 101
Jacksonville, FL 32202
Phone (904) 353-6229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1477414415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W BAY ST STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W BAY ST STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023632",
            "telephone_number": "904-353-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVALT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-353-6229",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.