MEDICARE: ADI GOLAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	27OA00740900	NJ

General Provider Information

NPI Number	:	1568329639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADI GOLAN

Provider Business Mailing Address
First Line	:	43 MEADOWS LN
Second Line	:
City	:	OCEAN
State	:	NJ
Zip	:	07712-3480
Country	:	US
Telephone Number	:	908-461-7385
Fax Number	:

Provider Business Practice Location Address
First Line	:	6951 ROUTE 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3766
Country	:	US
Telephone Number	:	732-994-0442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ ADI GOLAN ” Practice Location

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