Individual provider Active NPI

Paul J Palisano, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1861408858
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0620000034 Issued in VA
Practice address
2010 Bremo Rd Ste 128
Richmond, VA 23226-2444
Phone
(804) 285-0680
NPI assigned
Jul 31, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0620000034 VA Primary
Optometrist 152W00000X 0618001289 VA

Addresses

Primary practice location

2010 Bremo Rd Ste 128
Richmond, VA 23226-2444

Mailing address

PO Box 45923
Baltimore, MD 21297-5923
Phone (434) 385-5600

Other practice location 1

315 Furr St
South Hill, VA 23970-9500
Phone (804) 285-0680

Other practice location 2

1613 Hardy Cash Dr
Hampton, VA 23666-2414
Phone (757) 229-4000

Other practice location 3

2801 Boulevard Ste C
Colonial Heights, VA 23834-2323
Phone (804) 285-0680

Other practice location 4

5875 Bremo Rd
Suite 606
Richmond, VA 23226-1934
Phone (804) 484-3200

Other practice location 5

5215 Monticello Ave
Williamsburg, VA 23188-8232
Phone (757) 229-4000

Other identifiers 6

IdentifierTypeStateIssuer
2154617OtherUHC
239501OtherANTHEM
010306264MedicaidVA
435538OtherSOUTHERN HEALTH
1920517OtherCIGNA
1337863OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000728 VA Practitioner - Optometry 5799758454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

2010 Bremo Rd
Suite 128
Richmond, VA 23226-2444
Phone (804) 285-0680

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001289VAMDOptometrist
0620000034VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
David M Harman MD LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Dominion Eye Associates PC CurrentSince Mar 1, 2020 Accepting new patients
William G. Ryan, O.D., LTD. Optometrist Past Accepting new patients
Eye Center Inc Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

505 7th St
Altavista, VA 24517
Phone (434) 369-5092

4917 Richmond Tappahannock Hwy
Ste 1A
Aylett, VA 23009
Phone (804) 746-5245

109 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 455-5130

2801 Boulevard
Ste C
Colonial Hgts, VA 23834
Phone (804) 285-0680

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

1613 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 229-4000

7347 Bell Creek Rd
Ste 200
Mechanicsvlle, VA 23111
Phone (804) 746-5245

2385 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 739-2220

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

6161 Kempsville Cir
Ste 130
Norfolk, VA 23502
Phone (757) 455-5130

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

2010 Bremo Rd
Ste 128
Richmond, VA 23226
Phone (804) 285-0680

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

315 Furr St
South Hill, VA 23970
Phone (434) 447-2578

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

5215 Monticello Ave
Ste A
Williamsburg, VA 23188
Phone (757) 229-1440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1861408858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "434-385-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BREMO RD STE 128",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262444",
            "telephone_number": "804-285-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Furr St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239709500",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Hardy Cash Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662414",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Boulevard Ste C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342323",
            "country_code": "US",
            "telephone_number": "804-285-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5875 Bremo Rd",
            "address_2": "Suite 606",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261934",
            "country_code": "US",
            "telephone_number": "804-484-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888232",
            "country_code": "US",
            "telephone_number": "757-229-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALISANO",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000034",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2154617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "239501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010306264",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "435538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1920517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1337863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.