Individual
KATHRYN W DELISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
(508) 519-5512
Mailing address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
(508) 519-5512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001757
VA
152W00000X
Optometrist
Primary
4786
MA
152W00000X
Optometrist
TA2106
MD
Other
Enumeration date
06/23/2008
Last updated
03/24/2026
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