| NPI | 1912043605 |
|---|---|
| Doing Business As | ENVISAGE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY P COCKERHAM Owner 408-873-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G86885) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-12-27 |