Kimberly Cogdill Cobb, ABOC, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1531 Issued in SC

Practice address

508 NW Bypass 72
Greenwood, SC 29649-1300

Phone

(864) 229-8008

NPI assigned

Jul 22, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1538041512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NW BYPASS 72",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491300",
            "telephone_number": "864-229-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NW BYPASS 72",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491300",
            "telephone_number": "864-229-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Bypass 25 NE",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463009",
            "country_code": "US",
            "telephone_number": "864-321-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "KIMBERLY",
        "middle_name": "COGDILL",
        "credential": "ABOC, LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudie M Clem, MSW
• Clint T. Seymour, Inc.
• Lizette G Cloete, OTR/L
• Kelli Diane Clune, APRN
• Diana Marie Cobb, RN, BSN
• Orr McClentic Cobb Jr., M.D.
• Rebecca Coker, BCABA
• John Sherman Cole IV, M.D.
• Alicia Shavonn Coleman, LBSW
• Lahalla C Coleman

• Optician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.