# COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envisage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912043605
- **Authorized official:** DR. KIMBERLY P COCKERHAM MD (OWNER)
- **Authorized official phone:** (650) 804-9270

## Contact information

- **Practice address:** 3636 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1702
- **Practice address phone:** (619) 655-3075
- **Mailing address:** PO BOX 503148, SAN DIEGO, CA 92150-3148
- **Mailing address phone:** (858) 759-4765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G86885 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 12/24/2025