| LCA CASE NUMBER | I-200-21140-329465 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-20 |
| DECISION DATE | 2021-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| 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 | OPTIM DENTAL - 1 LLC |
| EMPLOYER ADDRESS1 | 3359 US HWY 41 S |
| EMPLOYER CITY | TERRE HAUTE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47802 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18127778777 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | DURSHANAPALLI |
| EMPLOYER POC FIRST NAME | SRINIVAS |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 3359 US HWY 41 S |
| EMPLOYER POC CITY | TERRE HAUTE |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47802 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18127778777 |
| EMPLOYER POC EMAIL | drsrinu81@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Vemuru |
| AGENT ATTORNEY FIRST NAME | Suneil |
| AGENT ATTORNEY ADDRESS1 | 8170 Lark Brown Road |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Elkridge |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21075 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14109757575 |
| AGENT ATTORNEY EMAIL ADDRESS | support@immiservice.com |
| LAWFIRM NAME BUSINESS NAME | Vegesna and Vemuru Associates LLC |
| STATE OF HIGHEST COURT | MD |
|
| NAME OF HIGHEST STATE COURT | Maryland Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3359 US Highway 41 S |
| LCA CASE WORKLOC1 CITY | Terre Haute |
| WORKSITE COUNTY | VIGO |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47802 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80912 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
