DR. Jon Michael Henley, O.D.

NPI #1619998192 in Upland, California

Provider Information

NPI Number: 1619998192
Entity Type: Individual
Name: DR. Jon Michael Henley, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 21, 2006
Last Updated: Jan 29, 2008

Practice Location

Address: 876 N MOUNTAIN AVE
Address 2: SUITE 100
City: Upland
State: California
ZIP Code: 91786-4166
Phone: (909) 982-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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