LARRY O OTWELL (AUD CCCA) – Audiologist, NPI 1417941329

LARRY O OTWELL (AUD CCCA) is a healthcare provider. based in Lynn haven, Florida. specializing in Audiologist. They hold the professional credentials AUD CCCA. They hold a License No. AY370 (FL). The NPI Number for LARRY O OTWELL (AUD CCCA) is 1417941329

Main info

Male
Sole Proprietor
Name
LARRY O OTWELL (AUD CCCA)
NPI
1417941329
Phone
(850) 769-2705
Address
2518 S HIGHWAY 77 STE A
Enumeration Date
7 September 2005
Last Update Date
3 April 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for LARRY O OTWELL (AUD CCCA)

  • 2518 S HIGHWAY 77 STE A

    LYNN HAVEN, FL 324444730

    Phone: (850) 769-2705

    Fax: (850) 769-1097

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32444)

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Provider's Procedures

LARRY O OTWELL (AUD CCCA) performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTFL92540Observation, testing, and recording of abnormal eye movement5252

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Frequently asked questions

Does LARRY O OTWELL (AUD CCCA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LARRY O OTWELL (AUD CCCA) uses 1417941329.
Is LARRY O OTWELL (AUD CCCA) still practicing?
LARRY O OTWELL (AUD CCCA) is currently listed as active in the public NPI registry.
What taxonomy line describes LARRY O OTWELL (AUD CCCA)?
For research purposes, treat LARRY O OTWELL (AUD CCCA) as Audiologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is LARRY O OTWELL (AUD CCCA) based?
LARRY O OTWELL (AUD CCCA) is tied to Lynn Haven, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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