NPIMap

Organization Active NPI

Berg En Dal PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1740373141
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BERG EN DAL PLLC
Practice address
2407 S Congress Ave Ste 100a
Austin, TX 78704-5505
Phone
(512) 442-2308
Fax
(512) 445-4546
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Sally Salamata HamissouNPI 1548515364
Title
OD
Phone
(512) 442-2308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

2407 S Congress Ave Ste 100a
Austin, TX 78704-5505

Mailing address

2407 S Congress Ave Ste 100a
Austin, TX 78704-5506
Phone (512) 442-2308

Other names 2

  • Jansen Optical Doing business as
  • Texas State Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000143 TX Part B Supplier - Clinic/Group Practice 3779682018 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Austin, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Berg En Dal2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 E Oltorf St
Austin, TX 78704
Phone (512) 442-2308

2407 S Congress Ave
Ste 100A
Austin, TX 78704
Phone (512) 233-6879

2407 S Congress Ave
Ste 100
Austin, TX 78704
Phone (512) 832-6225

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1740373141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045506",
            "telephone_number": "512-442-2308",
            "fax_number": "512-445-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-442-2308",
            "fax_number": "512-445-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG EN DAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "HAMISSOU",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "SALAMATA",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "512-442-2308"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jansen Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.