| CASE NUMBER | I-200-24194-192178 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/12/2024 |
| DECISION DATE | 7/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Optometrist |
| SOC CODE | 29-1041.00 |
| SOC TITLE | Optometrists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | National Vision, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2435 Commerce Ave |
| EMPLOYER ADDRESS2 | Building 2200 |
| EMPLOYER CITY | Duluth |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30096 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17708224296 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621320 |
| EMPLOYER POC LAST NAME | Auffant |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President, Employment & Operations |
| EMPLOYER POC ADDRESS1 | 2435 Commerce Ave |
| EMPLOYER POC ADDRESS2 | Building 2200 |
| EMPLOYER POC CITY | Duluth |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30096 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17708224296 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Amy.Auffant@nationalvision.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Herrmann |
| AGENT ATTORNEY FIRST NAME | Christian |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2 W. Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18643732214 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Christian.Herrmann@nelsonmullins.com |
| LAWFIRM NAME BUSINESS NAME | Nelson Mullins |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2663 N Elston Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Chicago |
| WORKSITE COUNTY | COOK |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60647 |
| WAGE RATE OF PAY FROM | 75,171.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $135,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $75,171.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-10-07 |