| LCA CASE NUMBER | I-200-20126-541473 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-05 |
| DECISION DATE | 2020-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 Bloomington LLC |
| EMPLOYER ADDRESS1 | 401 N Veterans Parkway |
| EMPLOYER ADDRESS2 | Unit 4 |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13098081317 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Durshanapally |
| EMPLOYER POC FIRST NAME | Srinivas |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 401 N Veterans Parkway |
| EMPLOYER POC ADDRESS2 | Unit # 4 |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61704 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13098081317 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| 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 | 14109757575.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| 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 | N |
| WORKSITE ADDRESS1 | 401 N Veterans Parkway |
| WORKSITE ADDRESS2 | Unit 4 |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MCLEAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61704 |
| LCA CASE WAGE RATE FROM | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112112.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
