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COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION
NPI 1912043605
Ophthalmology in San Diego, CA

Active since January 29, 2007
3636 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108(619) 655-3075 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 24, 2025, Nov 6, 2025 (2 updates tracked since 2025).

About Cockerham Eye Consultants Professional Corporation NPPES

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

COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION (NPI 1912043605), doing business as Envisage, is a healthcare organization registered as an ophthalmology in San Diego, California and active in the NPI registry since January 2007. The organization maintains 2 additional practice locations and lists Kimberly P Cockerham, Owner, as its authorized official.

NPPES Registry Identity

NPI1912043605
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCOCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION
Location Address3636 CAMINO DEL RIO N STE 200San Diego, CA 92108-1702
Mailing AddressPo Box 503148San Diego, CA 92150-3148 · (858) 759-4765
Phone(619) 655-3075
Organization SubpartNo
Authorized OfficialKimberly P CockerhamOwner · (650) 804-9270
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1912043605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G86885
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3636 CAMINO DEL RIO N STE 200, San Diego, CA 92108
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Other Names 1

Doing Business AsEnvisage

Secondary Practice Locations 2

Location 15555 Grossmont Center DrLA Mesa, CA 91942-3019 · Phone (619) 655-3705
Location 23969 4th Ave Ste 301San Diego, CA 92103-3165 · Phone (619) 655-3075

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KIMBERLY P. COCKERHAM MD
Ophthalmology (Neuro-ophthalmology)
3636 CAMINO DEL RIO N STE 200
SAN DIEGO, CA 92108
San Diego County (619) 655-3705

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 Cockerham Eye Consultants Professional Corporation's NPI number?

The NPI number for Cockerham Eye Consultants Professional Corporation is 1912043605. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Envisage.

Where is Cockerham Eye Consultants Professional Corporation located?

Cockerham Eye Consultants Professional Corporation is located at 3636 Camino Del Rio N Ste 200, San Diego, CA 92108. The listed phone number is (619) 655-3075.

What is Cockerham Eye Consultants Professional Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Cockerham Eye Consultants Professional Corporation was last updated on December 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.