| LCA CASE NUMBER | I-200-21225-521550 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-13 |
| DECISION DATE | 2021-08-20 |
| 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 | Drs. Sandra M. Krokos and Thomas P. Kislan, PC |
| TRADE NAME DBA | Hazleton Eye Specialists, Pottsville Eye Specialists, Stroudsburg Eye Specialists |
| EMPLOYER ADDRESS1 | Hazleton Eye Specialists |
| EMPLOYER ADDRESS2 | 281 Airport Road |
| EMPLOYER CITY | Hazle Township |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702336775 |
| NAICS CODE | 621320 |
| EMPLOYER POC LAST NAME | Kislan |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS1 | Hazleton Eye Specialists |
| EMPLOYER POC ADDRESS2 | 281 Airport Road |
| EMPLOYER POC CITY | Hazle Township |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702336775 |
| EMPLOYER POC EMAIL | foreeyes@ptd.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Harley |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123912418 |
|
| AGENT ATTORNEY EMAIL ADDRESS | mharley@foxrothschild.com |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Hazleton Eye Specialists |
| WORKSITE ADDRESS2 | 281 Airport Road |
| LCA CASE WORKLOC1 CITY | Hazle Township |
| WORKSITE COUNTY | LUZERNE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18202 |
| LCA CASE WAGE RATE FROM | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 45178 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
