BERG EN DAL, INC.
Optometry at Oltorf St, Austin, TX

License number
Texas TX3559
Category
Optometry
Type
Optometrist
License number
Texas TX3559
Category
Optometry
Type
Corneal and Contact Management
Owner
Name: DR. TERENCE JANSEN O.D.
Title: OWNER/THERAPEUTIC OPTOMETRIST
Phone: (512) 442-2308
Address
Address
104 E Oltorf St, Austin, TX 78704
National Provider ID: 1740373141
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BERG EN DAL, INC

Austin, TX

Industry:
Optometrist's Office
Doing business as:
Berg En Dal, Inc<br>Texas State Optical<br>Tso of Congress
Registration:
Sep 2, 1988
Phone:
(512) 442-2308 (Phone)
Addresses:
106 E Oltorf St, Austin, TX 78704 (Mailing)
104 E Oltorf St, Austin, TX 78704
State ID:
0108779200
Business type:
Domestic For-Profit Corporation
DIRECTOR, President, Director:
Terence E Jansen (DIRECTOR, President, Director), 106 E Oltorf St, Austin, TX 78704
Agent:
Terence Eric Jansen,133 W Oltorf St, Austin, TX (Physical)
TIN:
17602584991

Berg En Dal Inc

3601 W William Cannon Dr, Austin, TX 78749

Industry:
Optometrist's Office
Managers:
Cheryl F. Jansen (Owner, Principal),Tracie Rendon Manager, inactive

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