Cockerham Eye Consultants Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G86885 Issued in CA

Legal business name

COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION

Doing business as

Envisage

Practice address

3636 Camino del Rio N Ste 200
San Diego, CA 92108-1702

Phone

(619) 655-3075

NPI assigned

Jan 29, 2007

Last updated

Dec 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly P Cockerham, MDNPI 1366493629

Title

Owner

Phone

(650) 804-9270

Specialties & licenses 1

Addresses

Other names 1

• Envisage Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: kcockerham@ceye.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly P. Cockerham, MD

  • Neuro-ophthalmology Physician
  • San Diego, CA
  • NPI 1366493629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1912043605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503148",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921503148",
            "telephone_number": "858-759-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081702",
            "telephone_number": "619-655-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-655-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3969 4th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033165",
            "country_code": "US",
            "telephone_number": "619-655-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "COCKERHAM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-804-9270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envisage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Marie Cochrane
• Drekar Aegir Cochrane, AMFT
• Matthew Donald Cochrane, IDC
• Steve K. Cochrane, M.D.
• Daniellle B Cockburn
• Kimberly P. Cockerham, MD
• Kristin Cockrell, MOT, OTR/L
• Connie Cocolan
• Coconut Kids Dentistry & Orthodontics
• Amtheh Coda, FNP

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.