Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Michael Willingham, OD

Individual provider Optometrist · NPI 1588157291

Jesse Michael Willingham, OD is an Optometry in North Charleston, South Carolina. Graduated from University of Missouri St Louis - School of Optometry in 2018, 8 years ago. Licensed in New York and South Carolina.

Years since qualifying
8
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
NY, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1816 Success St Ste 101
North Charleston, SC 29405-7851
Phone: (843) 203-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.2201 (SC)
Optometrist Taxonomy 152W00000X · Licence TUV008748 (NY)

Record details

NPI number1588157291
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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