PROVIDER TYPE CODE PROVIDER SPECIALTY CODE TAXONOMY CODE

411-Optician 156FX1800X 088-Optometrist 152W00000X 130-Licensed Practical Nurse 164W00000X 127-Licensed Vocational Nurse 164X00000X 129-Registered Nurse 163W00000X 010-Behavioral Health & Social Service Providers 015-Eye & Vision Service Providers 016-Nursing Service Providers 012-Dental Providers ................
................