BEGIN:VCARD VERSION:3.0 FN:Steven Howell\, OD N:Howell;Steven;;;OD TITLE:Optometrist TEL;TYPE=WORK,VOICE:+15596747059 URL:https://www.gale.care/providers/ca/madera/steven-howell-od-1588658397 NOTE:NPI 1588658397. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1588658397 END:VCARD