UPLAND EYE CARE
NPI 1710185459
Optometrist in Upland, CA

Active since July 03, 2007
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 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Upland Eye Care NPPES

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

UPLAND EYE CARE (NPI 1710185459) is a healthcare organization registered as an optometrist in Upland, California and active in the NPI registry since July 2007. The organization lists Jon Michael Henley, Owner, as its authorized official.

NPPES Registry Identity

NPI1710185459
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameHENLEY OPTOMETRIC CORPORATION
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
Organization SubpartNo
Authorized OfficialJon Michael HenleyOwner · (909) 982-0900
Enumeration DateJuly 3, 2007
Last NPPES UpdateJanuary 17, 2018
✔ NPI 1710185459 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 Names 1

Doing Business AsUpland Eye Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upland Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Upland Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1619998192
876 N MOUNTAIN AVE SUITE 100
Upland, CA 91786
(909) 982-0900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Henley Optometric Corporation's NPI number?

The NPI number for Henley Optometric Corporation is 1710185459. It was assigned to this organization in the NPPES registry on July 3, 2007. The provider is doing business as Upland Eye Care.

Where is Henley Optometric Corporation located?

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

What is Henley Optometric Corporation's specialty?

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

Is Henley Optometric Corporation enrolled in Medicare?

Yes. Henley Optometric Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henley Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Henley Optometric Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Henley Optometric Corporation was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.