| LCA CASE NUMBER | I-200-21140-329575 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-20 |
| DECISION DATE | 2021-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Optimus Health Care, Inc. |
| EMPLOYER ADDRESS1 | 471 Barnum Avenue |
| EMPLOYER CITY | Bridgeport |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12036963260 |
| NAICS CODE | 62149 |
| EMPLOYER POC LAST NAME | Xavier-Dowski |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS 1 | 471 Barnum Avenue |
| EMPLOYER POC CITY | Bridgeport |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12036963260 |
| EMPLOYER POC EMAIL | mxdowski@optjc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ross |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Alaina |
| AGENT ATTORNEY ADDRESS1 | 142 Old Ridgefield Road |
| AGENT ATTORNEY ADDRESS2 | Suite #202 |
| AGENT ATTORNEY CITY | Wilton |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6897 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Connecticut |
| AGENT ATTORNEY PHONE | 12035293760 |
| AGENT ATTORNEY EMAIL ADDRESS | mross@robertsimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Roberts Immigration Law Group |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court of Connecticut |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 471 Barnum Avenue |
| LCA CASE WORKLOC1 CITY | Bridgeport |
| WORKSITE COUNTY | BRIDGEPORT CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6608 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE TO | 180351.08 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94120 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Brown |
| PREPARER FIRST NAME | Tameka |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Roberts Immigration Law Group, LLC |
| PREPARER EMAIL | tbrown@robertsimmigration.com |
