What about the ADD of 2.25? This guy strikes me as mainly being
farsighted, with a prescription of +2.00 in each eye. That makes my
first suggestion to be to go to somewhere like a local dollar store or
drugstore and get a pair of +2.00 reading glasses and see how they
work for reading.

The minus and astigmatic part of this prescription are so small as to
be possibly within the margin of error of measurement, meaning that
another measurement taken on another day might turn out to be zero for
all or some of the four -0.25's.

You could experiment with a cheap online pair of glasses with just the
-0.25 myopia prescription, or the myopia plus astigmatism (no ADD), to
see if you really need it for things like driving, especially at
night. Can you read the car's instrument panel without any glasses? If
not, I suppose you'll will need bifocals in order to drive.

It's also possible that walking around with +2.00 glasses for a while
will counteract the -0.25 myopia. So that's my suggestion - get the
+2.00 readers locally first.
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