Jon Michae Henley (NPI# 1619998192, PAC ID# 1557257805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619998192 |
| PAC ID by PECOS | 1557257805 |
| Professional Enrollment ID | I20040226000677 |
| Full Name | Jon Michae Henley |
| Address |
876 N Mountain Ave Suite 100 Upland CA 91786-4166 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 876 N Mountain Ave, Suite 100, Upland, CA 91786-4166 |
| Street Address |
876 N MOUNTAIN AVE SUITE 100 |
| City | UPLAND |
| State | CA |
| Zip | 91786-4166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Smith | Nurse Practitioner | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Khin T Htun | Family Medicine | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Raul Castillo | Chiropractic | 659 E 15th St, Suite D, Upland, CA 91786-2333 | |
| Louis Brenner | Family Medicine | 1113 Alta Ave, Suite 110, Upland, CA 91786-2803 | |
| Richard L Armour | Family Medicine | 1113 Alta Ave, Suite 102, Upland, CA 91786-2803 | |
| Susan Christine Biegel | Internal Medicine | 1113 Alta Ave, Suite 220, Upland, CA 91786-2803 | |
| Keith M Gross | Dermatology | Keith Mark Gross Md Inc | 1113 Alta Ave, Suite 200, Upland, CA 91786-2803 |
| Torhild E Kvarekvaal | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Ninfa P Weinzapfel | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Michael A Benavidez | Family Medicine | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
| Find all physicians in zip 91786 | |||
| City | UPLAND |
| Zip Code | 91786 |
| Specialty | OPTOMETRY |
| City + Specialty | UPLAND + OPTOMETRY |
Please comment or provide details below to improve the information on Jon Michae Henley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.