| LCA CASE NUMBER | I-200-20021-266213 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-21 |
| DECISION DATE | 2020-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Optometrist |
| SOC CODE | 29-1041.00 |
| SOC TITLE | Optometrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-28 |
| END DATE | 2023-01-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hero Vision of Utica, PLLC |
| TRADE NAME DBA | Adventure Dental & Vision |
| EMPLOYER ADDRESS1 | 2221 E. BIJOU STREET STE. 100 |
| EMPLOYER CITY | COLORADO SPRINGS |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80909 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16606244887 |
| NAICS CODE | 62132 |
| EMPLOYER POC LAST NAME | Alex |
| EMPLOYER POC FIRST NAME | Pim |
| EMPLOYER POC JOB TITLE | Manager of Recruiting |
| EMPLOYER POC ADDRESS1 | 2221 E. BIJOU STREET STE. 100 |
| EMPLOYER POC CITY | COLORADO SPRINGS |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80909 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16606244887 |
| EMPLOYER POC EMAIL | alex.pim@herodvo.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Schultz |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 8601 N. Scottsdale Road, Suite 300 |
| AGENT ATTORNEY CITY | Scottsale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85253 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14804295000.0 |
| AGENT ATTORNEY PHONE EXT | 7112.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jon.schultz@kutakrock.com |
| LAWFIRM NAME BUSINESS NAME | Kutak Rock LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court of Arizona |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 602 S Utica Avenue |
| LCA CASE WORKLOC1 CITY | Tulsa |
| WORKSITE COUNTY | TULSA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74104 |
| LCA CASE WAGE RATE FROM | 131500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127067.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schultz |
| PREPARER FIRST NAME | Jonathan |
| PREPARER BUSINESS NAME | Kutak Rock LLP |
| PREPARER EMAIL | jon.schultz@kutakrock.com |
