Organization Active NPI

Davalt Optical Inc

  • Eyewear Supplier
  • Jacksonville, FL
National Provider Identifier
1508035007
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DAVALT OPTICAL INC
Practice address
807 Lomax St
Jacksonville, FL 32204-3901
Phone
(904) 353-6229
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Patricia B Davalt
Title
Owner
Phone
(904) 353-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

807 Lomax St
Jacksonville, FL 32204-3901

Mailing address

807 Lomax St
Jacksonville, FL 32204-3901
Phone (904) 353-6229

National Provider Directory

National Provider Directory

Locations

807 Lomax St
Jacksonville, FL 32204
Phone (904) 353-6229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1508035007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043901",
            "telephone_number": "904-353-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043901",
            "telephone_number": "904-353-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVALT OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVALT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-353-6229"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "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 Feb 28, 2008; 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.