JESSE MICHAEL WILLINGHAM OD
NPI 1588157291
Optometrist in North Charleston, SC

Q: What is Jesse Willingham's NPI number?

The NPI number for Jesse Willingham is 1588157291. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Q: What is Jesse Willingham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Willingham was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2018PECOS Enrolled

1816 SUCCESS ST STE 101, NORTH CHARLESTON, SC 29405(843) 203-0200 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 17, 2026, Jan 12, 2023, Sep 15, 2020 (3 updates tracked since 2020).

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About Jesse Michael Willingham Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE MICHAEL WILLINGHAM OD (NPI 1588157291) is an individual optometrist in North Charleston, South Carolina, licensed in South Carolina (OPT.2201) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2018).

NPPES Registry Identity

NPI1588157291

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJESSE MICHAEL WILLINGHAMCredential: OD

Location Address1816 SUCCESS ST STE 101North Charleston, SC 29405-7851

Mailing Address1816 Success St Ste 101North Charleston, SC 29405-7851 · (843) 203-0200

Phone(843) 203-0200

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2018

Enumeration DateJune 8, 2018

Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1588157291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in SC · OPT.2201✔ Licensed in NY · TUV008748

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1816 SUCCESS ST STE 101, North Charleston, SC 29405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Michael Willingham Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062761125

PECOS Enrollment IDI20200826000371

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARK CIRCLE VISION LLC

Optometrist (Vision Therapy)

1816 SUCCESS ST STE 101
NORTH CHARLESTON, SC 29405

Charleston County (843) 203-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Willingham's NPI number?

The NPI number for Jesse Willingham is 1588157291. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Jesse Willingham located?

Jesse Willingham practices at 1816 Success St Ste 101, North Charleston, SC 29405. The listed phone number is (843) 203-0200.

What is Jesse Willingham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jesse Willingham enrolled in Medicare?

Yes. Jesse Willingham is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Willingham accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jesse Willingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Willingham was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.