Cockerham Eye Consultants Professional Corporation is a Ophthalmology Physician (organization) practicing in San Diego, California. The National Provider Identifier (NPI) is #1912043605, which was assigned on January 29, 2007, and the registration record was last updated on December 24, 2025. The practitioner's main practice location is at 3636 Camino Del Rio N Ste 200, San Diego, CA 92108-1702; the contact telephone number is 6196553075. The primary taxonomy of Cockerham Eye Consultants Professional Corporation is Ophthalmology Physician (207W00000X). The authorized official for Cockerham Eye Consultants Professional Corporation is Dr. Kimberly P Cockerham (Owner). Cockerham Eye Consultants Professional Corporation is licensed to practice in the state of California (#G86885).
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
| NPI | 1912043605 |
| Entity Type | Organization |
| Organization Name | COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION |
| Provider Name | COCKERHAM EYE CONSULTANTS PROFESSIONAL CORPORATION |
| Practice Address |
3636 Camino Del Rio N Ste 200 San Diego CA 92108-1702 |
| Practice Telephone | 6196553075 |
| Mailing Address |
Po Box 503148 San Diego CA 92150-3148 |
| Mailing Telephone | 8587594765 |
| Certification Date | 2025-12-24 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-12-24 |
| Is Organization Subpart | N |
| Official Name | DR. KIMBERLY P COCKERHAM |
| Official Title | OWNER |
| Credential | MD |
| Telephone | 6508049270 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 193200000X MULTI-SPECIALTY GROUP | G86885 | CA |
| Other Organization Name | Type |
|---|---|
| Envisage | Doing Business As Name |
| Address | Telephone | Fax |
|---|---|---|
| 3969 4th Ave Ste 301, San Diego, CA 921033165 | 6196553075 | |
| 5525 Grossmont Center Dr Ste 602, LA Mesa, CA 919423009 | 6198101275 | |
| 5555 Grossmont Center Dr, LA Mesa, CA 919423019 | 6196553705 |
| Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| Classification | Ophthalmology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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| Street Address |
3636 CAMINO DEL RIO N STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1702 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kimberly P. Cockerham · Kimberly Peele | 3636 Camino Del Rio N Ste 200, San Diego, CA 92108-1702 | Ophthalmology Physician | 2006-05-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vista Community Hospice, Inc. | 3636 Camino Del Rio N Ste 245, San Diego, CA 92108-1702 | Community Based Hospice Care Agency | 2020-10-28 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Milo Bivens | 2820 Camino Del Rio South, 100, San Diego, CA 92108 | Behavior Technician | 2023-06-26 |
| Reichelle Punzal | 3550 Camino Del Rio N., Suite 104, San Diego, CA 92108 | Behavior Technician | 2024-07-16 |
| Socal Speech Therapy & Ot | 8880 Rio San Diego Drive, 8th Floor, San Diego, CA 92108 | Occupational Therapist | 2025-03-11 |
| Virginia Hyannis Lee | 2525 Camino Del Rio S #315, San Diego, CA 92108 | Acupuncturist | 2023-10-02 |
| La Matriz Birth Services Inc | 3633 Camino Del Rio South, Ste 206, San Diego, CA 92108 | Doula | 2024-10-24 |
| Aurora Quintero | 409 Camino Del Rio S. Suite 201, San Diego, CA 92108 | Student in an Organized Health Care Education/Training Program | 2025-10-15 |
| Russell Jay Niland | 1011 Camino Del Rio South, Suite 300, San Diego, CA 92108 | Peer Specialist | 2026-04-01 |
| Kathleen Ann Kramm | 1011 Camino Del Rio South, Suite 300, San Diego, CA 92108 | Peer Specialist | 2025-10-30 |
| Roger George Lee Davis III | 1011 Camino Del Rio S Suite 300, San Diego, CA 92108 | Rehabilitation Practitioner | 2026-01-08 |
| Mireya Villagomez | 2831 Camino Del Rio South Suite 213, San Diego, CA 92108 | Speech-Language Pathologist | 2023-08-17 |
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|---|---|---|---|
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| Patricia Cockerham | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | Behavior Technician | 2026-04-28 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |