| LCA CASE NUMBER | I-200-21161-387834 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-06-17 |
| 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 | 2021-08-25 |
| END DATE | 2024-08-24 |
| 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 | Boling Vision Center |
| EMPLOYER ADDRESS1 | 2746 Old U.S. 20 W |
| EMPLOYER CITY | Elkhart |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46514 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15742933545 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Kames |
| EMPLOYER POC FIRST NAME | Rhonda |
| EMPLOYER POC JOB TITLE | Director of Guest Services |
| EMPLOYER POC ADDRESS 1 | 2746 Old US 20 W |
| EMPLOYER POC CITY | Elkhart |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46514 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15742933545 |
| EMPLOYER POC EMAIL | rkames@bolingvisioncenter.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Church |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 755 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12485199900 |
| AGENT ATTORNEY EMAIL ADDRESS | marykate.church@ellisporter.com |
| LAWFIRM NAME BUSINESS NAME | Ellis Porter PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 17900 Ireland Road |
| LCA CASE WORKLOC1 CITY | South Bend |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46614 |
| LCA CASE WAGE RATE FROM | 136000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104645 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
