DR. JON MICHAEL HENLEY O.D.
NPI 1619998192
Optometrist in Upland, CA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
876 N MOUNTAIN AVE, SUITE 100, UPLAND, CA 91786(909) 982-0900(909) 982-7657 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jon Michael Henley O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON MICHAEL HENLEY O.D. (NPI 1619998192) is an individual optometrist in Upland, California, licensed in California (10246T) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1993).

NPPES Registry Identity

NPI1619998192
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JON MICHAEL HENLEYCredential: O.D.
Location Address876 N MOUNTAIN AVE, SUITE 100Upland, CA 91786-4166
Mailing Address876 N Mountain Ave, Suite 100Upland, CA 91786-4166 · (909) 982-0900 · Fax (909) 982-7657
Fax(909) 982-7657
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1993
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 29, 2008
NPI 1619998192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 10246T
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

876 N MOUNTAIN AVE, Upland, CA 91786

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ28614ZCA · Medicare Group Number
Medicare ID-Type UnspecifiedSD0102460CA · Medicare Provider Number
Medicare UPINU68637CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jon Michael Henley O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557257805
PECOS Enrollment IDI20040226000677
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services81 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services29 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services21 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
876 N MOUNTAIN AVE, STE 200
UPLAND, CA 91786
Chiropractor
876 N MOUNTAIN AVE, SUITE 107
UPLAND, CA 91786
Marriage & Family Therapist
876 N MOUNTAIN AVE, SUITE 200
UPLAND, CA 91786
Marriage & Family Therapist
876 N MOUNTAIN AVE, SUITE 200R
UPLAND, CA 91786
In Home Supportive Care
876 N MOUNTAIN AVE
UPLAND, CA 91786
Homemaker
876 N MOUNTAIN AVE
UPLAND, CA 91786
Hospice Care, Community Based
876 N MOUNTAIN AVE, STE 200P
UPLAND, CA 91786
Optometrist
876 N MOUNTAIN AVE, SUITE 100
UPLAND, CA 91786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Henley's NPI number?

The NPI number for Jon Henley is 1619998192. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jon Henley located?

Jon Henley practices at 876 N Mountain Ave Suite 100, Upland, CA 91786. The listed phone number is (909) 982-0900.

What is Jon Henley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jon Henley enrolled in Medicare?

Yes. Jon Henley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jon Henley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jon Henley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Henley was last updated on January 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.