Individual
DR. PAUL J PALISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2010 BREMO RD STE 128, RICHMOND, VA 23226-2444
(804) 285-0680
Mailing address
PO BOX 45923, BALTIMORE, MD 21297-5923
(434) 385-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001289
VA
152W00000X
Optometrist
Primary
0620000034
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010306264
—
VA
01
—
1337863
AETNA
—
01
—
1920517
CIGNA
—
01
—
2154617
UHC
—
01
—
239501
ANTHEM
—
01
—
435538
SOUTHERN HEALTH
—
Enumeration date
07/31/2006
Last updated
08/08/2025
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