Park Circle Vision LLC
NPI 1912611971 · Vision Therapy Optometrist · North Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Circle Vision LLC is a Vision Therapy Optometrist organization in North Charleston, SC (NPI 1912611971).
Provider details
- NPI number
- 1912611971
- Entity type
- Organization
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jesse Willingham, Member(843) 203-0200
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brighter Outlook Vision
Registry dates
- Enumerated
- 2023-01-12
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Frequently asked questions
- What is Park Circle Vision LLC's NPI number?
- Park Circle Vision LLC's National Provider Identifier (NPI) is 1912611971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Circle Vision LLC?
- Park Circle Vision LLC is classified in the NPPES registry as Vision Therapy Optometrist (Eye and Vision Services Providers).
- Where is Park Circle Vision LLC located?
- Park Circle Vision LLC's practice location on file with NPPES is 1816 Success St Ste 101, North Charleston, SC 29405-7851.
- What is Park Circle Vision LLC's phone number?
- The practice phone number listed in the NPPES registry for Park Circle Vision LLC is (843) 203-0200.
- Does Park Circle Vision LLC accept Medicare?
- Park Circle Vision LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Circle Vision LLC?
- The authorized official listed on Park Circle Vision LLC's NPPES record is Jesse Willingham, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Circle Vision LLC's NPI active?
- Yes — Park Circle Vision LLC's NPI (1912611971) is active in the NPPES registry as of the last update on 2023-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.