Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jon Michael Henley, OD

Individual provider Optometrist · NPI 1619998192

Dr. Jon Michael Henley, OD is an Optometry in Upland, California. Graduated from Southern California College of Optometry in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

876 N Mountain Ave Ste 100
Upland, CA 91786-4166
Phone: (909) 982-0900
Fax: (909) 982-7657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10246T (CA)

Record details

NPI number1619998192
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESJanuary 29, 2008
Mailing address876 N Mountain Ave, Suite 100, Upland, CA 91786-4166

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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