Cockerham Eye Consultants Professional Corporation
NPI 1912043605 · Ophthalmology Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cockerham Eye Consultants Professional Corporation is a Ophthalmology Physician organization in San Diego, CA (NPI 1912043605).
Provider details
- NPI number
- 1912043605
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Cockerham, Owner(650) 804-9270
- License
- G86885 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Envisage
Additional practice locations (2)
- 5555 Grossmont Center DrLa Mesa, CA 91942-3019Phone: (619) 655-3705
- 3969 4th Ave Ste 301San Diego, CA 92103-3165Phone: (619) 655-3075
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2025-12-24
- Certified
- 2025-12-24
Frequently asked questions
- What is Cockerham Eye Consultants Professional Corporation's NPI number?
- Cockerham Eye Consultants Professional Corporation's National Provider Identifier (NPI) is 1912043605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cockerham Eye Consultants Professional Corporation?
- Cockerham Eye Consultants Professional Corporation is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Cockerham Eye Consultants Professional Corporation located?
- Cockerham Eye Consultants Professional Corporation's practice location on file with NPPES is 3636 Camino Del Rio N Ste 200, San Diego, CA 92108-1702.
- What is Cockerham Eye Consultants Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Cockerham Eye Consultants Professional Corporation is (619) 655-3075.
- Does Cockerham Eye Consultants Professional Corporation accept Medicare?
- Cockerham Eye Consultants Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cockerham Eye Consultants Professional Corporation?
- The authorized official listed on Cockerham Eye Consultants Professional Corporation's NPPES record is Kimberly Cockerham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cockerham Eye Consultants Professional Corporation's NPI active?
- Yes — Cockerham Eye Consultants Professional Corporation's NPI (1912043605) is active in the NPPES registry as of the last update on 2025-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.