Jesse Michael Willingham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.2201 Issued in SC

Practice address

1816 Success St Ste 101
North Charleston, SC 29405-7851

Phone

(843) 203-0200

NPI assigned

Jun 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Circle Vision LLC

  dba Brighter Outlook Vision

  • Vision Therapy Optometrist
  • North Charleston, SC
  • NPI 1912611971
  Medicare reassignment NPD Authorized official
• The Vision Center at Seaside Farms

  • Optometrist
  • Mount Pleasant, SC
  • NPI 1710111588
  Medicare reassignment NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1588157291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 SUCCESS ST STE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057851",
            "telephone_number": "843-203-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 SUCCESS ST STE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057851",
            "telephone_number": "843-203-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008748",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellen Williams, MD
• Shalena B Williams, LMSW
• Shamya Williams
• Alexa Richtmyer Williamson, D.M.D.
• Melissa Anne Williamson
• Laryssa Willis
• Stacie Michelle Willoughby
• Tharyar Myatnoe Wilm
• Elizabeth Carr Wilson, RN
• Shacrisa Lashae Wilson

• Optometrist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.