Organization
BERG EN DAL PLLC
Active
Other names
Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SALAMATA HAMISSOU (OD)
(512) 442-2308
Entity
Organization
Contact information
Practice address
2407 S CONGRESS AVE STE 100A, AUSTIN, TX 78704-5505
(512) 442-2308
(512) 445-4546
Mailing address
2407 S CONGRESS AVE STE 100A, AUSTIN, TX 78704-5506
(512) 442-2308
(512) 445-4546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
09/30/2006
Last updated
12/17/2025
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