Henley Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

10246T Issued in CA

Legal business name

HENLEY OPTOMETRIC CORPORATION

Practice address

876 N Mountain Ave
Suite 100
Upland, CA 91786-4166

Phone

(909) 982-0900

Fax

(909) 982-7657

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Jon Michael Henley, ODNPI 1619998192

Title

Owner

Phone

(909) 982-0900

Specialties & licenses 1

Addresses

Other names 1

• Upland Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Michael Henley, O.D.

  • Optometrist
  • Upland, CA
  • NPI 1619998192
  Medicare reassignment NPD Authorized official
• Bob E. McClure, M.D.

  • Occupational Medicine Physician
  • La Mirada, CA
  • NPI 1942275987
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1710185459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 N MOUNTAIN AVE",
            "address_2": "SUITE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864166",
            "telephone_number": "909-982-0900",
            "fax_number": "909-982-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 N MOUNTAIN AVE",
            "address_2": "SUITE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864166",
            "telephone_number": "909-982-0900",
            "fax_number": "909-982-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENLEY OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-982-0900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10246T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Heller, MS, MS, PPS, LMFT
• Helpful Hand Assisted Living LLC
• Helping Hands Hospice Care, Inc.
• Martha Henao, MD
• Charles Henderson, PA-C
• Jason Henley
• Jon Michael Henley, O.D.
• Milagros Lizeth Henriquez
• Henry J Gonzalez M D Inc
• Kimberley Henry

• Optometrist in Upland, CA
• Providers in Upland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.