MEDICARE: DR. JOANNE ASHLEY MAI OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11621TG	TX

General Provider Information

NPI Number	:	1669304994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE ASHLEY MAI OD

Provider Business Mailing Address
First Line	:	3200 N MACARTHUR BLVD STE 200
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-4404
Country	:	US
Telephone Number	:	972-258-7979
Fax Number	:	972-570-5502

Provider Business Practice Location Address
First Line	:	2261 BROOKHOLLOW PLAZA DR STE 104
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7417
Country	:	US
Telephone Number	:	972-258-7979
Fax Number	:	972-570-5502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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