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General NPI Number Information
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NPI Number | 1689644817
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Entity Type | Individual
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Provider Name | MICHAEL J HENRY MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5021 W NOBLE AVE SUITE A
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City | VISALIA
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State | CA
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Zip | 93277-8310
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Country | US
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Telephone | 559-627-9393
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Fax | 559-627-1624
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Provider Business Mailing Address
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Address Line | 5021 W NOBLE AVE SUITE A
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City | VISALIA
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State | CA
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Zip | 93277-8310
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Country | US
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Telephone | 559-627-9393
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Fax | 559-627-1624
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301085099
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A94551
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License Number State | CA
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