Organization
HENLEY OPTOMETRIC CORPORATION
Active
Other names
Upland Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JON MICHAEL HENLEY OD (OWNER)
(909) 982-0900
Entity
Organization
Contact information
Practice address
876 N MOUNTAIN AVE, SUITE 100, UPLAND, CA 91786-4166
(909) 982-0900
(909) 982-7657
Mailing address
876 N MOUNTAIN AVE, SUITE 100, UPLAND, CA 91786-4166
(909) 982-0900
(909) 982-7657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10246T
CA
Other
Enumeration date
07/03/2007
Last updated
01/17/2018
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