Jayson Paul Ferd Burden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004545A Issued in IN

Practice address

3409 N Anthony Blvd Ste 46805
Fort Wayne, IN 46805-2283

Phone

(260) 484-2691

NPI assigned

Oct 21, 2024

Last updated

May 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Eye-Care Excellence LLCGroup PAC ID 6103064100, 4 clinicians

Frey Vision Group of Indiana IncGroup PAC ID 3779868203, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Eye-Care Excellence LLC

  • Optometrist
  • Mishawaka, IN
  • NPI 1679822035
  Medicare reassignment Care Compare group NPD
• Frey Vision Group of Indiana Inc

  • Optometrist
  • Fort Wayne, IN
  • NPI 1699109256
  Medicare reassignment Care Compare group NPD
• Center for Eye-Care Excellence

  • Optometrist
  • Granger, IN
  • NPI 1770127342
  NPD
• Longe Enterprises Corp

  dba Longe Optical

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1083294532
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1063233179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD STE 46805",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052283",
            "telephone_number": "260-484-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD STE 46805",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052283",
            "telephone_number": "260-484-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6206 Saint Joe Center Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468352506",
            "country_code": "US",
            "telephone_number": "260-492-2020",
            "fax_number": "260-217-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "JAYSON",
        "middle_name": "PAUL FERD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathren A Bunt, L. AC.
• John Anthony Buonocore, D.O.
• Brent D. Burch, OD
• Katelyn Burcham, RBT
• Kenneth Alan Burckardt, M.D.
• James E Burg, LMFT, LMHC, PHD
• Geneva Burgess
• Nichole Jean Burgess, LMT
• Danielle Burgett, RBT
• Charlene Ann Burian, MS RD CD IBCLC

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.