# A. L. HARRELL,III, O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083914808
- **Authorized official:** DR. ALBERT L. HARRELL III O.D. (PRESIDENT)
- **Authorized official phone:** (561) 798-8282

## Contact information

- **Practice address:** 11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
- **Practice address phone:** (561) 798-8282
- **Practice address fax:** (561) 798-2840
- **Mailing address:** 11924 W FOREST HILL BLVD, 31, WELLINGTON, FL 33414-6256
- **Mailing address phone:** (561) 798-8282
- **Mailing address fax:** (561) 798-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OP 1746 | FL | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 05/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0776020002 | DMERC | FL |
| 05 | — | 078294701 | — | FL |