Individual provider Active NPI

Tamela Renee Burrell-Verbarg, O.D.

  • Optometrist
  • Yelm, WA
National Provider Identifier
1013936574
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD6100320 Issued in WA
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT11939T CA
Optometrist 152W00000X OD6100320 WA Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SD0119391MedicaidCA
1013936574MedicaidCO
SD0119390MedicaidCA

Other names 1

  • Dr. Tammy R Burrell Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000906 WA Practitioner - Optometry 9638137995 Reassigns benefits to 1 organization

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 100Reported as group
Quality
100
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT11939TCAMDOptometrist
OPT.0003341COMDOptometrist
OD6100320WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Streamline Optometric, PLLC Optometrist CurrentSince Aug 19, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.