Provider Demographics
NPI:1043839319
Name:HENRY INC
Entity type:Organization
Organization Name:HENRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:METTA FALLENA
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:619-992-4291
Mailing Address - Street 1:651 PALOMAR ST STE A17
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-2663
Mailing Address - Country:US
Mailing Address - Phone:619-422-2118
Mailing Address - Fax:619-422-2385
Practice Address - Street 1:651 PALOMAR ST STE A17
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-2663
Practice Address - Country:US
Practice Address - Phone:619-422-2118
Practice Address - Fax:619-422-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty