Organization
COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION
Active
Other names
Envisage
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY P COCKERHAM MD (OWNER)
(650) 804-9270
Entity
Organization
Contact information
Practice address
3636 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1702
(619) 655-3075
Mailing address
PO BOX 503148, SAN DIEGO, CA 92150-3148
(858) 759-4765
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G86885
CA
Other
Enumeration date
01/29/2007
Last updated
12/24/2025
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