| LCA CASE NUMBER | I-200-21124-284812 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-04 |
| DECISION DATE | 2021-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ASSOCIATE OPTOMETRIST |
| SOC CODE | 29-1041.00 |
| SOC TITLE | Optometrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-11 |
| END DATE | 2024-09-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LICKTEIG FAMILY EYECARE P.C. |
| TRADE NAME DBA | LICKTEIG FAMILY EYECARE P.C. |
| EMPLOYER ADDRESS1 | 15 BROOK STREET |
| EMPLOYER ADDRESS2 | UNIT 3 |
| EMPLOYER CITY | MEDFIELD |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2052 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15089066066 |
| NAICS CODE | 621320 |
| EMPLOYER POC LAST NAME | LICKTEIG |
| EMPLOYER POC FIRST NAME | BENJAMIN |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS 1 | 15 BROOK STREET |
| EMPLOYER POC ADDRESS 2 | UNIT 3 |
| EMPLOYER POC CITY | MEDFIELD |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02052 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15089066066 |
| EMPLOYER POC EMAIL | BENLICKTEIG.EYEDOC@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | RYBALNIK |
| AGENT ATTORNEY FIRST NAME | ISABEL |
| AGENT ATTORNEY MIDDLE NAME | I. |
| AGENT ATTORNEY ADDRESS1 | 161 WORCESTER ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 501 |
| AGENT ATTORNEY CITY | FRAMINGHAM |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15085323508 |
| AGENT ATTORNEY EMAIL ADDRESS | IRYBALNIK@FLETCHERTILTON.COM |
| LAWFIRM NAME BUSINESS NAME | FLETCHER TILTON, P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1245 WORCESTER ST. |
| WORKSITE ADDRESS2 | SUITE 1024 |
| LCA CASE WORKLOC1 CITY | NATICK |
| WORKSITE COUNTY | NATICK |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1760 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116605 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
