# HOLTEBECK EYE CENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619567054
- **Authorized official:** AARON HOLTEBECK MD (OWNER)
- **Authorized official phone:** (262) 393-2020

## Contact information

- **Practice address:** 18200 W CAPITOL DR STE 103, BROOKFIELD, WI 53045-1445
- **Practice address phone:** (262) 393-2020
- **Practice address fax:** (414) 377-4150
- **Mailing address:** 18200 W CAPITOL DR STE 103, BROOKFIELD, WI 53045-1445
- **Mailing address phone:** (262) 393-2020
- **Mailing address fax:** (414) 377-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 05/19/2021