Active NPI
Lori Ann Sportelli, OD
- Optometrist
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1569
- Practice address
- 2657 N Salisbury Blvd Ste 104
Salisbury, MD 21801-2184 - Phone
- (410) 742-6148
- Fax
- (410) 219-3654
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1569 | MD | Primary |
Addresses
Primary practice location
2657 N Salisbury Blvd Ste 104
Salisbury, MD 21801-2184
Mailing address
814 S Ellwood Ave
Baltimore, MD 21224-3951
Phone (410) 284-2352
Other practice location 1
8201 Philadelphia Rd
Rosedale, MD 21237-2832
Phone (410) 866-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401431600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Milford St
Salisbury, MD 21804-6952
Phone 4107499290105
2657 N Salisbury Blvd
Suite 104
Salisbury, MD 21801-2184
Phone (410) 742-6148
2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.43 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Eye Center PA | Current | Accepting new patients | |
| Accurate Optical Co of Cambridge Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
314 Franklin Ave
Ste 101
Berlin, MD 21811
Phone (410) 641-3954
2711 Ocean Gtwy
Ste B
Cambridge, MD 21613
Phone (410) 228-1110
101 Milford St
Salisbury, MD 21804
Phone (410) 749-9290
2657 N Salisbury Blvd
Ste 104
Salisbury, MD 21801
Phone (410) 742-6148
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- lori.sportelli.p1@direct.katzeneye.nextgenshare.com
- lsportelli@peninsula.intellechartdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Salisbury, MD
- NPI 1164546974
-
- Optometrist
- Cambridge, MD
- NPI 1467467126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1417035981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 S ELLWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243951",
"telephone_number": "410-284-2352",
"fax_number": "410-284-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2657 N SALISBURY BLVD STE 104",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012184",
"telephone_number": "410-742-6148",
"fax_number": "410-219-3654"
}
],
"practiceLocations": [
{
"address_1": "8201 Philadelphia Rd",
"address_purpose": "LOCATION",
"city": "Rosedale",
"state": "MD",
"postal_code": "212372832",
"country_code": "US",
"telephone_number": "410-866-2022",
"fax_number": "410-866-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPORTELLI",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401431600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.