NPIMap

Organization Active NPI

Berg En Dal PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1881787281
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BERG EN DAL PLLC
Practice address
3601 W William Cannon Dr
Suite 150
Austin, TX 78749-1525
Phone
(512) 441-8924
Fax
(512) 442-4585
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

3601 W William Cannon Dr
Suite 150
Austin, TX 78749-1525

Mailing address

3601 W William Cannon Dr Ste 150
Austin, TX 78749-1533
Phone (512) 441-8924

Other names 1

  • Jansen 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
This NPI is an additional NPI on the 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

3601 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-8924

3601 W William Cannon Dr
#150
Austin, TX 78749
Phone (512) 441-8924

106 E Oltorf St
Austin, TX 78704
Phone (512) 441-8924

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": "1765929600000",
    "number": "1881787281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533",
            "telephone_number": "512-441-8924",
            "fax_number": "512-442-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR",
            "address_2": "SUITE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491525",
            "telephone_number": "512-441-8924",
            "fax_number": "512-442-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG EN DAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE 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"
        }
    ]
}

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 Dec 17, 2025; 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.