REVISION ADVANCED SURGERY CENTER INC
NPI 1992018790
Clinic/Center - Ambulatory Surgical in Columbus, OH

Active since July 21, 2010CLIA 36D1059172 · Waiver
1080 POLARIS PKWY, COLUMBUS, OH 43240(800) 475-2113(614) 781-1974 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revision Advanced Surgery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVISION ADVANCED SURGERY CENTER INC (NPI 1992018790) is a healthcare organization registered as an ambulatory surgical in Columbus, Ohio and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Douglas James Schumer, President, as its authorized official.

NPPES Registry Identity

NPI1992018790
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREVISION ADVANCED SURGERY CENTER INC
Location Address1080 POLARIS PKWYColumbus, OH 43240-6035
Mailing Address1080 Polaris PkwyColumbus, OH 43240-6035 · (800) 475-2113 · Fax (614) 781-1974
Fax(614) 781-1974
Organization SubpartYesParent: Revision Advanced Surgery Center
Authorized OfficialDouglas James SchumerPresident · (419) 525-3737
Enumeration DateJuly 21, 2010
Last NPPES UpdateOctober 23, 2014
NPI 1992018790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in OH · 0642AS
1080 POLARIS PKWY, Columbus, OH 43240

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1059172

Revision Advanced Surgery Center · Columbus, OH
Active · expires Sep 24, 2026
CLIA Number36D1059172
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorD James Schumer
Laboratory Phone(614) 781-0499
Laboratory LocationRevision Advanced Surgery Center1080 Polaris Parkway Suite 200, Columbus, OH 43240
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
570 services315 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
230 services142 patients
Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye 66988
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. A laser is then used to reduce fluid production in the eye, helping to lower pressure and improve vision.
37 services20 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
30 services14 patients
Removal of growth of cornea 65400
The removal of a corneal growth is a procedure to eliminate abnormal tissue from the cornea, the clear front surface of the eye. This can help improve vision and alleviate discomfort. The process is typically performed by an ophthalmologist under local anesthesia.
22 services18 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
13 services11 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1080 POLARIS PKWY, SUITE 220
COLUMBUS, OH 43240
Massage Therapist
1080 POLARIS PKWY, SUITE 200
COLUMBUS, OH 43240
Dentist (General Practice)
1080 POLARIS PKWY, SUITE 130
COLUMBUS, OH 43240
Clinic/Center (Primary Care)
1080 POLARIS PKWY, SUITE 120
COLUMBUS, OH 43240
Ophthalmology
1080 POLARIS PKWY
COLUMBUS, OH 43240
Specialist
1080 POLARIS PKWY
COLUMBUS, OH 43240
Massage Therapist
1080 POLARIS PKWY
COLUMBUS, OH 43240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revision Advanced Surgery Center Inc's NPI number?

The NPI number for Revision Advanced Surgery Center Inc is 1992018790. It was assigned to this organization in the NPPES registry on July 21, 2010.

Where is Revision Advanced Surgery Center Inc located?

Revision Advanced Surgery Center Inc is located at 1080 Polaris Pkwy, Columbus, OH 43240. The listed phone number is (800) 475-2113.

What is Revision Advanced Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Revision Advanced Surgery Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1059172) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revision Advanced Surgery Center Inc was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.