Healthcare Provider Details

I. General information

NPI: 1235954868
Provider Name (Legal Business Name): MORGAN DANIELLE ZBIKOWSKI OD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN DANIELLE CAISSE

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CAMPBELL AVE
WEST HAVEN CT
06516-2770
US

IV. Provider business mailing address

31 AUSTIN ST APT 7C
NEW HAVEN CT
06515-1277
US

V. Phone/Fax

Practice location:
  • Phone: 203-932-5711
  • Fax:
Mailing address:
  • Phone: 978-987-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number3384
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: