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This site augenarzt-pirna.de has the following in the web site, "Wir heißen Sie herzlich willkommen auf unserer Website." We noticed that the website also stated " Hier erfahren Sie mehr über uns, die Historie." It also stated " Unserer Augenarzt-Praxis in Pirna, unsere Augenärztinnen Frau Groeschel, Frau Dr. Der Netzhaut und des Nachstars sowie die Kontaktlinsenanpassung. Der Graue Star welche Linse passt zu mir? Kostenloser Informationsabend find." The header had dr. as the highest ranking keyword. It was followed by Michalik, Weber, and Groeschel which isn't as ranked as highly as dr.. The next words the site used was Augenarzt. Pirna was also included but might not be understood by web crawlers.