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Organization

BERG EN DAL PLLC

Active
Other names
Jansen Optical
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY SALAMATA HAMISSOU (OD)
(512) 442-2308
Entity
Organization

Contact information

Practice address
3601 W WILLIAM CANNON DR, SUITE 150, AUSTIN, TX 78749-1525
(512) 441-8924
(512) 442-4585
Mailing address
3601 W WILLIAM CANNON DR STE 150, AUSTIN, TX 78749-1533
(512) 441-8924
(512) 442-4585

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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