Active NPI
Tamela Renee Burrell-Verbarg, O.D.
- Optometrist
- Yelm, WA
National Provider Identifier
1013936574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD6100320
- Practice address
- 17100 State Route 507 SE
Yelm, WA 98597-7605 - Phone
- (360) 583-6568
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT11939T | CA | |
| Optometrist | 152W00000X | OD6100320 | WA | Primary |
| Optometrist | 152W00000X | OPT.0003341 | CO |
Addresses
Primary practice location
17100 State Route 507 SE
Yelm, WA 98597-7605
Mailing address
1336 Fones Rd SE Unit 106
Olympia, WA 98501-2789
Phone (360) 919-3061
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0119391 | Medicaid | CA | |
| 1013936574 | Medicaid | CO | |
| SD0119390 | Medicaid | CA |
Other names 1
- Dr. Tammy R Burrell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17100 State Route 507 SE
Yelm, WA 98597-7605
Phone (360) 583-6568
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.08 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT11939T | CA | MD | Optometrist |
| OPT.0003341 | CO | MD | Optometrist |
| OD6100320 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Streamline Optometric, PLLC | Optometrist | Current | Accepting new patients |
| Whidbey Vision Care Inc PS | Optometrist | Past | Accepting new patients |
Locations
5900 Littlerock Rd SW
Tumwater, WA 98512
Phone (360) 350-6024
17100 State Route 507 SE
Yelm, WA 98597
Phone (360) 400-8062
Interoperability endpoints
- tburrell@clarus.direct.eyemdemr.com
Organizations & group practices 2
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.
-
- Optometrist
- Yelm, WA
- NPI 1356173181
-
- Optometrist
- Freeland, WA
- NPI 1124199435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1013936574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 FONES RD SE UNIT 106",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985012789",
"telephone_number": "360-919-3061",
"fax_number": "360-230-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 STATE ROUTE 507 SE",
"city": "YELM",
"state": "WA",
"postal_code": "985977605",
"telephone_number": "360-583-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL-VERBARG",
"first_name": "TAMELA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11939T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD6100320",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003341",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0119391",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013936574",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0119390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "BURRELL",
"middle_name": "R",
"prefix": "DR.",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.