Individual provider Active NPI

Elizabeth Ann Fairless, MD

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
National Provider Identifier
1679100192
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
37982 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone
(405) 271-7816
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 37982 OK Primary
Ophthalmology Physician 207W00000X 37982 OK

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone (405) 271-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OK, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240603000983 UT Practitioner - Ophthalmology 0345782686 Reassigns benefits to 2 organizations
I20250812004503 OK Practitioner - Ophthalmology 0345782686 Reassigns benefits to 2 organizations
I20250929000562 TX Practitioner - Ophthalmology 0345782686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Dean McGee Eye InstituteGroup PAC ID 3779495353, 41 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • Choctaw Nation Health Services Authority Hospital, Talihina, OK, CCN 370172
  • Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37982OKMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean McGee Eye Institute CurrentSince Sep 15, 2025 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Sep 23, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 24, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients
University of Utah Pediatric Services CurrentSince May 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 24, 2025 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
Dean McGee Eye Institute Ophthalmology CurrentSince Sep 15, 2025 Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2024 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Sep 23, 2025 Accepting new patients
University of Utah Pediatric Services Ophthalmology CurrentSince May 1, 2024 Accepting new patients
Chickasaw Nation Division of Health Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-6060

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: efairless66445@direct.chickasawnationhealth.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1679100192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLESS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "37982",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "37982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.