Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Lonnie Bullard, MD

Individual provider Pediatric Ophthalmology and Strabismus Specialist Physician · NPI 1326351727

Michael Lonnie Bullard, MD is an Ophthalmology in Ogden, Utah. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2009, 17 years ago. Practices with Mt Ogden Eye Center LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4360 Washington Blvd
Ogden, UT 84403-1866
Phone: (801) 476-0494
Fax: (801) 476-0067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 9073398-1205 (UT)
Pediatric Ophthalmology and Strabismus Specialist Physician Taxonomy 207WX0110X · Licence 9073398-1205 (UT)

Record details

NPI number1326351727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mt Ogden Eye Center Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount