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Contact Information

TAMELA R BURRELL VERBARG, OD
17100 STATE ROUTE 507 SE
YELM, WA98597-7605
 Phone: 360-583-6568
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TAMELA R BURRELL VERBARG · (Female)

NPI Number 1013936574
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/18/2006
Last updated 09/12/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OPT11939T
  • CO License # OPT.0003341
  • WA License # OD6100320
  • CA Medicaid SD0119390
  • CA Medicaid SD0119391
  • CO Medicaid 1013936574
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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