| LCA CASE NUMBER | I-200-21112-248709 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-22 |
| DECISION DATE | 2021-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Optometrist |
| SOC CODE | 29-1041.00 |
| SOC TITLE | Optometrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Norwich Ophthalmology Group, P.C. |
| EMPLOYER ADDRESS1 | 79 Wawecus Street |
| EMPLOYER ADDRESS2 | Suite 105 |
| EMPLOYER CITY | Norwich |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6360 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18608860161 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Champagne |
| EMPLOYER POC FIRST NAME | Doreen |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS 1 | 79 Wawecus Street |
| EMPLOYER POC ADDRESS 2 | Suite 105 |
| EMPLOYER POC CITY | Norwich |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06360 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18608860161 |
| EMPLOYER POC EMAIL | doreen@norwichlasik.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100 |
| AGENT ATTORNEY PHONE EXT | 108 |
|
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 79 Wawecus Street |
| WORKSITE ADDRESS2 | Suite 105 |
| LCA CASE WORKLOC1 CITY | Norwich |
| WORKSITE COUNTY | NORWICH CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6360 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE TO | 156000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 52458 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baliko |
| PREPARER FIRST NAME | Frank |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| PREPARER EMAIL | fbaliko@lkwvisa.com |
