Individual
DR. PAUL J PALISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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